2011 SHOW-ME FOOTBALL COMBINE

  • Who is Eligible: ALL CLASS OF 2012, 2013, 2014, 2015 Players
  • When: Saturday February 19, 2011 TIME: 9:00am - 1:00pm (8:00am Registration)
  • Where: St. Louis Sports Center 6727 Langley Avenue St. Louis, MO 63123
  • Cost: $85.00
  • Team Discount Rates Available - Call 636.346.1274 for Details

First Name:
Last Name:
Phone:
E-mail:
Address:
City:
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Alt Phone:
Personal Information
Parental/Emergency Contact Information
Combine Waiver

Football Information
Weight:
Height (Feet'/Inches"):
High School:
Position:
Father/Guardian Name:
Father/Guardian Phone Number:
Mother/Guardian Name:
Mother/Guardian Phone Number:
Emergency Contact Name:
Emergency Contact Phone Number:
Insurance Carrier:
Once you click the Proceed button, you will be taken to the Camp Payment Page.   Simply click "Add to Shopping Cart" and enter your payment information.   You have the choice to pay with a Paypal account or to use a major credit card. Thank you and we look forward to working with you this summer!
Online Payment Instructions
If you have any questions please contact EFA @ 636-346-1371
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RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT (“AGREEMENT”)

IN CONSIDERATION of being permitted to participate in any way in ELITE FOOTBALL ACADEMY LLC activity (“Activity”) I, for myself, for personal representatives, assigned heirs, and next of kin:
1. ACKNOWLEDGE, agree, and represent that I understand the nature of Elite Football Academy LLC Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity.  I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.
2. FULLY UNDERSTAND THAT: (a) ELITE FOOTBALL ACADEMY LLC ACTIVITIES INVOLVE RISK AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“Risks”);  (b) these Risks and dangers may be caused by my own action or inaction, the action or inaction of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW;  (c) there may be OTHER RISK AND SOCIAL AND ECONOMIC LOSSES either not known to me nor readily foreseeable at this time, and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I Incur as a result of my participation or that of the minor in the Activity.
3.        HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE ELITE FOOTBALL ACADEMY  LLC, their respective administrators, coaches, directors, agents, officers, members, volunteers, independent contractors, and employees, other participants, any sponsors, advertisers, and, if applicable, owner and lessors of premises on which the Activity takes place, including VSP and JSAG Capital, LLC  (each considered one of the “Releasees” herein) FROM ALL LIABILTY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES”OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such a claim.

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY DIGITALLY SIGNING IT AND HAVE DIGITALLY SIGNED IT FREELY AND WITHOUT INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILTY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT


REGISTRATION NOW CLOSED
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