Below is our application for enrollment. Please note that submission of this form does not guarantee enrollment in the desired activity/sport. Also note that a place in the desired class/sport is not fully reserved until first payment is received and/or you have received confirmation from our staff.
     Once we receive the application, you will be contacted by our staff if there is a problem with your enrollment.

If you prefer to print out a registration application and mail it in, please click here.
     
  *Indicates a required field  

 
*Participant 1:
*Birthdate: 
    Male   Female
Participant 2:
Birthdate: 
    Male   Female
Participant 3:
Birthdate: 
    Male   Female
*Street:
*City: 
*State:  * Zip:
*Phone: 
*E-mail:
Mobile: 
Parental Information (if under 18): Check if same address as above
Parent 1:
Phone: 
Street:
City: 
State:   Zip:
E-mail: 
Parent 2:
Phone: 
Street:
City: 
State:   Zip:
E-mail: 
*Sport or Activity: Desired class type, day and time. Or, indicate your desired tennis court time.
Start Date:     Shirt Size (league soccer only)
Membership Type (Fitness & Tennis Only):         Fee: 

By their very nature, sports or activities that involve motion carry a risk of physical injury. No matter how careful the athlete and instructor are, the risk cannot be eliminated. Potential injuries range from minor injuries, such as bruises to more serious injuries such as broken bones, dislocations and muscle pulls, to catastrophic injuries such as permanent paralysis or even death from landings or falls on the back, neck or head. Participation in these activities carries a reasonable assumption of risk. By signing this release, I hereby for myself, my children adopted or otherwise, my heirs and executors, waive and release any and all rights against Champions For Life, their agents or representatives; for any injury or damages that may be suffered by me, my children adopted or otherwise, in connection with my association or entry into any activity sponsored by Champions for Life.

* I agree            Add your initials:

You will not be invoiced. All payments due by the first class of month or start of activity’s session.