Students Name *

First Name

Last Name

Parent Phone *

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Parent/Guardian Name *

First Name

Last Name

Consent *

I certify that my child is in normal health, covered by health insurance, and capable of participation with Off Season Athletics, LLC and OSA Academy Inc. Any special needs or health conditions have been stated. The organizer and staff are not responsible for any damages or injury incidentals to the conduct of this program. I hereby authorize the Off Season Athletics, LLC and OSA Academy Inc. Staff to obtain medical treatment for my child in the event that parent/guardian or emergency contact cannot be reached.