Player Registration

Player Information

First Name *

Last Name *

Date of Birth *

Age Group

Primary Position *

Secondary Position

Current Club / School

Photo *

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Contact Information

Email *

Phone *

Address

Parent / Guardian (if under 18)

Parent/Guardian Name

Relationship

Parent Email

Parent Phone

Medical & Emergency

Medical Conditions / Allergies

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Relationship

Training Preferences

Desired Program *

Training Location

Preferred Days

Preferred Time

Goals / Notes for Fabian

E-Signature & Agreement

By signing below, I acknowledge that I have read and agree to the Bastidas Elite Performance training terms, waiver of liability, and photo release. I understand that training involves physical activity and I assume all risks associated.

Sign Your Name Below *

Draw your signature with mouse or finger

Full Legal Name *

Date

I agree to the training terms, waiver of liability, and photo release. I understand that training involves physical activity and I assume all risks associated. *

I consent to the use of photos/videos for promotional purposes.