Address: 1576 Levern St., Clearwater, FL 33755 | Come visit us anytime!

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Contact Blazin Ravenz Performance

Service Area
Nationwide

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RAVENZ ATHLETE REGISTRATION

Membership Details

Understand that a total of $100 or $______

Clear Signature
I understand that by typing or drawing my signature below, I am agreeing to the terms and conditions of this document and that my electronic signature is legally binding under applicable law.

Athlete(s) Information

Athlete Name
Gender
Additional Athlete

Parent / Guardian Information

Parent / Guardian Name
Address
$0.00

The undersigned hereby requests that the named athlete be allowed to participate in this program during the current season and, in consideration thereof, the undersigned assumes all risks and hazards incidental thereto and agrees to hold harmless and indemnify. Release and discharge THE BLAZIN RAVENZ TRACK CLUB, its officers, coaches, and sponsors from any personal or property claim arising from any activity or transportation to or from these activities. Further, this shall authorize any doctor to commence immediate treatment in the event of any accident, illness, or injury to the athlete, and the undersigned shall be liable for payment thereof, without necessity of further release or authorization whatsoever. The undersigned also acknowledges and agrees that pictures and/or videos may be taken of the named athlete and used to promote the track club in the current year and future years. I further agree that I have read, understood, and signed THE BLAZIN RAVENZ TRACK CLUB’s “Code of Conduct, and I do agree to its terms and conditions.