Private Lessons

ATHLETE INFORMATION

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PARENT/GUARDIAN INFORMATION

1. No one in my household has/will have had any of the following symptoms in the last 14 days of session attendance: sore throat, cough, chills, body aches for unknown reasons, shortness of breath for unknown reasons, loss of smell, loss of taste, fever at or greater than 100 degrees Fahrenheit?
2. My child will not attend any sessions with any of the symptoms listed above.
3. My child will not attend any sessions if any household member has tested positive for COVID-19 in the 14 days prior to session attendance?
4. No one in my household has/will have traveled outside of the U.S. or on a cruise in the past 21 days of session attendance?
5. I have/will have no reason to believe that anyone in my household or proximity has been exposed to or acquired COVID-19 within 14 days of any session attendance?

LESSON DETAILS

A small convenience fee will be added to your cost at checkout.

By signing this form and entering my name for registration of a participant, I acknowledge granting this permission. I understand that participation in Liberty Edge involves risk and dangers of serious and permanent bodily injury and death. I hereby release, hold harmless, discharge and agree not to sue Marcus Liberty or Liberty Edge, all their affiliates and DBAs, all directors, officers, employees, coaches, officials, volunteers, agents, sponsors, advertisers, owners/leasers of premises for and from all liability from my participation in and with these and any other related travel, lodging, social and recreational activities. I also understand Liberty Edge retains the right to use for publicity and advertising, photographs and video taken of the participants.

I have given my child permission to participate in the Liberty Edge related events, and I certify that she/he is in good health, has been cleared by a physician and can take part in all physical activities, not limited to but including training, practices and games. I am aware of all laws, rules and safety procedures regarding head concussions. If an injury occurs, I authorize the staff members to take any action and use the emergency service available at the nearest hospital if necessary. I understand my personal insurance will be used in this case. In case of an emergency, I authorize the personnel to take action.