Registration Information

Transcription

1 23810 West Industrial Drive, Plainfield Illinois Burr Oak Drive, Westmont, IL Registration Information Programs (All 12 Weeks from May 30 August 19): 10U: Tier 1 will offer a two or three day per week program of half hour sessions. It has been our experience that half an hour is the optimal time to maximize training while keeping the mental focus of the younger athlete. 12U: Overall athleticism is the focus of this program with an eye on the select hockey skills that can be developed in a player this age. Players can choose to train two or three times per week. It is our experience that greater results are achieved at three times per week but we understand the scheduling constraints of this age group. 14U: This program is designed for the multiple sport athlete that participates in hockey. At this age, some weight training is introduced along with overall athleticism, with an eye on hockey. Athletes in this group will train three times per week Girls: Female athletes, as their bodies mature, need to be trained differently than their male counterparts. Tier 1 is dedicated to training girl athletes with the same intensity as boys. This program is three or four times per week and will encompass athleticism and hockey skills. Hockey: This is a three time per week hockey specific training program for ages 14 and above. All training is dedicated to developing a stronger, more coordinated better balanced hockey player while reducing injury risk. Advanced Hockey: Our most intense program, advanced hockey is a four time per week immersion in all the components of an elite level hockey players. Three days of training plus a recovery day that includes: Yoga, pilates, swimming, ice baths and various other recovery and educational activities. Goaltenders Only: This year, Tier 1 is introducing a new program to address the specific needs of goaltenders. We conducted a beta test last year and had tremendous feedback from our goalie families. For 2017, we are focusing strictly on the special training needs of a netminder. This program is three to four times per week. For further information, please visit the programs tab of our web site at Please remember all classes are 10 athletes or less. All programs are filled on a first come, first served basis.

2 Pricing: Pricing structure is dictated by the program chosen and number of days per week of training. This year we have changed the way we are pricing our program. While every program is 12 weeks in duration, we have structured the investment for 10 weeks of training. As we assume that most families will have two weeks of vacation or outside activities, this will allow for missed sessions. Any further sessions missed can be made up through our generous make-up schedule. If families do not take that time, the two weeks of training is free. For specific pricing, please contact Don Lewis at or We are also providing an early bird discount for all paid in full registrations received by May 1, One final note: Tier 1 will not turn any athlete away due to financial concerns. Payment plans are available as well as financial assistance. If an athlete wants to train at Tier 1, we will take every reasonable measure to make participation possible. Methods of Registration: For each form of registration, the following forms (available below) will be required: 1. Registration Form: If registering more than one athlete, one form can be used. 2. Waiver Liablility: This form is specific to the chosen location for training 3. Form of Payment: We accept cash, checks and all major forms of credit cards. Pay by Mail: Please fill out above forms and send check to Tier 1 Athletic Performance 776 Burr Oak Drive Westmont IL Pay by Phone: Please contact Don at to select this method. Pay in Person: Please contact Don or lew1161@yahoo.com to make arrangements to drop off payment at either of our locations.

3 23810 West Industrial Drive, Plainfield Illinois Burr Oak Drive, Westmont, IL Athlete Registration Form Athlete Name: Parent(s) Name: Parent Emergency Phone: Athlete Age: Date Of Birth: Did someone refer you to Tier 1? How many times per week would your athlete like to train? Recommendation High School aged and physically mature 8 th graders, 3-4 sessions per week. Younger than mature <8 th grade, 2 3 sessions per week. # of Sessions per week: Please circle the days you are available: Time of Day M T W TH F S AM PM - Preferred Time: Comments:

4 CFTS Release of Liability.doc Version 1.0 Tier 1 Athletic Performance - WESTMONT WAIVER AND RELEASE FROM LIABILITY I, ( Participant ), or Participant s parent or legal guardian if Participant is under the age of 18 years, have requested the use of Tier 1, facilities and/or equipment, or the purchase or provision of lessons, instruction and/or training related to weightlifting, powerlifting, olympic lifting, gymnastics, plyometrics, calisthenics, running, swimming, rowing, biking, climbing, jumping, throwing, diet, nutrition, injury prevention, and/or activities incidental thereto individually and collectively ("Tier 1 Activities ) and the use of equipment and facilities at 776 Burr Oak Drive, Westmont, IL and/or any public or private location (collectively Facilities and Equipment ). I understand and acknowledge that serious disabilities, illness (to include exertional rhabdomyolysis ), death, accidents and injuries can occur during Tier 1 Activities at the Facilities and/or through the use of the Facilities and Equipment in which those Tier 1 Activities are held, whenever or however they occur and for such period said activities may continue. I further understand and acknowledge that attending, participating in, volunteering at or spectating at Tier 1 Activities may require me to perform strenuous activities, or to be exposed to activities, conditions, individuals, equipment or events which have potential to cause death, illness, serious injury, disability, or property loss. Knowing the risks inherent in, and connected with these Tier 1 Activities, conditions, equipment or events, and with the full understanding of the activities I will be performing, on behalf of myself, my executors, administrators, heirs, successors, assigns, and next of kin, I HEREBY FULLY ASSUME THE RISKS OF INJURY, ILLNESS, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY INHERENT IN, AND/OR IN ANY WAY CONNECTED WITH, ATTENDING, PARTICIPATING IN, AND SPECTATING A TIER 1 EVENT OR OTHER TIER 1 ACTIVITY AT THE FACILITIES EVEN IF ARISING FROM THE NEGLIGENCE OF OTHER PERSONS EXECUTING A SIMILAR WAIVER AND RELEASE FROM LIABILITY. I understand that I will not be permitted to Participate in Tier 1 Activities without executing this Waiver and Release. As a condition of my Participation in Tier 1 Activities, I grant Tier 1, and its employees, members, partners, officers and agents perpetual and nonrevocable permission to use my name, photographs and video in which my image and likeness appears in connection with my Participation in Tier 1 Activities and further grant permission to display, publish, distribute, use, print and reprint such images and likeness, and the right to employ such images or likeness in advertising and promotions relating thereto or to Tier 1, or any Activities at or related to Tier 1, including any advertisements or media and electronic displays and transmissions thereof (herein Likeness Rights ). I release Tier 1 and its employees, members, partners, officers and agents from any and all liability for damages for use in any manner or media of the Likeness Rights, and waive any and all claims and causes of action for damages for use of the Likeness Rights, including but not limited to: unauthorized use of my likeness, image, character or persona; violation of my right of publicity or privacy; and for copyright or moral rights infringement, defamation, or being cast in a bad light. I understand and agree that this Agreement is a full and final release covering all known and unknown and unanticipated injuries, debts, claims or damages to him/her that have arisen or may have arisen from any matters, acts, omissions or dealings released in this agreement, including but not limited to the use of the photographs and Likeness Rights. The undersigned acknowledges that he/she is aware that he/she may hereafter discover facts in addition to, or different from, those which he/she now knows or believes to be true, but it is his/her intention hereby, fully and finally and forever, to settle and to release any and all matters, disputes and differences, known or unknown, suspected or unsuspected, that do now exist, may exist or heretofore have existed with respect to those matters described herein. I expressly waive and relinquish any and all rights or benefits that I may now have, or in the future may have as to these matters released herein, under the terms of Section of the Illinois Civil Code and any similar law of any state or territory of the United States. Said section provides as follows: A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor. I KNOWINGLY RELEASE, INDEMNIFY, HOLD HARMLESS, AND DISCHARGE the following persons and entities: The City of Westmont; Tier 1, Inc.; Tier 1 ; and the officers, members, directors, employees, representatives, independent contractors, family members, and agents ( Releasees ) of any and all of the above in connection with any claim arising from or in any way connected with my Participation in Tier 1 Activities at the Facilities and/or use of the Equipment, whenever or however they occur and for such period said activities may continue. I AGREE NOT TO BRING ANY CLAIM AGAINST RELEASEES, which claims concern in any way death, injury, damage, or loss of any type or nature, which arise out of, are related to, or are in any way connected with attending, participating in, volunteering at or spectating at Tier 1 Activities, and/or which arise out of or are connected in any way with my use of, or my presence at the Facility(ies) at which (those) activities held, whether injury, death or disability, loss or damage is caused in whole or in part by negligence, gross carelessness, or other acts or failure to act of those persons or entities. I HEREBY AFFIRM AND ACKNOWLEDGE THAT I HAVE READ THIS DOCUMENT. I HEREBY AFFIRM AND ACKNOWLEDGE THAT I UNDERSTAND ITS CONTENTS AND AGREE TO BE BOUND THEREBY. IF I AM UNDER THE AGE OF EIGHTEEN YEARS, MY PARENT/GUARDIAN HAS READ AND COMPLETED THE SECTION BELOW. Date: Print Athlete Name: Athlete Signature: Parent Signature: Address: Page 1 of 1

5 CFTS Release of Liability.doc Version 1.0 Tier 1 Athletic Performance - PLAINFIELD WAIVER AND RELEASE FROM LIABILITY I, ( Participant ), or Participant s parent or legal guardian if Participant is under the age of 18 years, have requested the use of Tier 1, facilities and/or equipment, or the purchase or provision of lessons, instruction and/or training related to weightlifting, powerlifting, olympic lifting, gymnastics, plyometrics, calisthenics, running, swimming, rowing, biking, climbing, jumping, throwing, diet, nutrition, injury prevention, and/or activities incidental thereto individually and collectively ("Tier 1 Activities ) and the use of equipment and facilities at W. Industrial Drive, Plainfield Il, and/or any public or private location (collectively Facilities and Equipment ). I understand and acknowledge that serious disabilities, illness (to include exertional rhabdomyolysis ), death, accidents and injuries can occur during Tier 1 Activities at the Facilities and/or through the use of the Facilities and Equipment in which those Tier 1 Activities are held, whenever or however they occur and for such period said activities may continue. I further understand and acknowledge that attending, participating in, volunteering at or spectating at Tier 1 Activities may require me to perform strenuous activities, or to be exposed to activities, conditions, individuals, equipment or events which have potential to cause death, illness, serious injury, disability, or property loss. Knowing the risks inherent in, and connected with these Tier 1 Activities, conditions, equipment or events, and with the full understanding of the activities I will be performing, on behalf of myself, my executors, administrators, heirs, successors, assigns, and next of kin, I HEREBY FULLY ASSUME THE RISKS OF INJURY, ILLNESS, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY INHERENT IN, AND/OR IN ANY WAY CONNECTED WITH, ATTENDING, PARTICIPATING IN, AND SPECTATING A TIER 1 EVENT OR OTHER TIER 1 ACTIVITY AT THE FACILITIES EVEN IF ARISING FROM THE NEGLIGENCE OF OTHER PERSONS EXECUTING A SIMILAR WAIVER AND RELEASE FROM LIABILITY. I understand that I will not be permitted to Participate in Tier 1 Activities without executing this Waiver and Release. As a condition of my Participation in Tier 1 Activities, I grant Tier 1, and its employees, members, partners, officers and agents perpetual and nonrevocable permission to use my name, photographs and video in which my image and likeness appears in connection with my Participation in Tier 1 Activities and further grant permission to display, publish, distribute, use, print and reprint such images and likeness, and the right to employ such images or likeness in advertising and promotions relating thereto or to Tier 1, or any Activities at or related to Tier 1, including any advertisements or media and electronic displays and transmissions thereof (herein Likeness Rights ). I release Tier 1 and its employees, members, partners, officers and agents from any and all liability for damages for use in any manner or media of the Likeness Rights, and waive any and all claims and causes of action for damages for use of the Likeness Rights, including but not limited to: unauthorized use of my likeness, image, character or persona; violation of my right of publicity or privacy; and for copyright or moral rights infringement, defamation, or being cast in a bad light. I understand and agree that this Agreement is a full and final release covering all known and unknown and unanticipated injuries, debts, claims or damages to him/her that have arisen or may have arisen from any matters, acts, omissions or dealings released in this agreement, including but not limited to the use of the photographs and Likeness Rights. The undersigned acknowledges that he/she is aware that he/she may hereafter discover facts in addition to, or different from, those which he/she now knows or believes to be true, but it is his/her intention hereby, fully and finally and forever, to settle and to release any and all matters, disputes and differences, known or unknown, suspected or unsuspected, that do now exist, may exist or heretofore have existed with respect to those matters described herein. I expressly waive and relinquish any and all rights or benefits that I may now have, or in the future may have as to these matters released herein, under the terms of Section of the Illinois Civil Code and any similar law of any state or territory of the United States. Said section provides as follows: A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor. I KNOWINGLY RELEASE, INDEMNIFY, HOLD HARMLESS, AND DISCHARGE the following persons and entities: The City of Westmont; Tier 1, Inc.; Tier 1 ; and the officers, members, directors, employees, representatives, independent contractors, family members, and agents ( Releasees ) of any and all of the above in connection with any claim arising from or in any way connected with my Participation in Tier 1 Activities at the Facilities and/or use of the Equipment, whenever or however they occur and for such period said activities may continue. I AGREE NOT TO BRING ANY CLAIM AGAINST RELEASEES, which claims concern in any way death, injury, damage, or loss of any type or nature, which arise out of, are related to, or are in any way connected with attending, participating in, volunteering at or spectating at Tier 1 Activities, and/or which arise out of or are connected in any way with my use of, or my presence at the Facility(ies) at which (those) activities held, whether injury, death or disability, loss or damage is caused in whole or in part by negligence, gross carelessness, or other acts or failure to act of those persons or entities. I HEREBY AFFIRM AND ACKNOWLEDGE THAT I HAVE READ THIS DOCUMENT. I HEREBY AFFIRM AND ACKNOWLEDGE THAT I UNDERSTAND ITS CONTENTS AND AGREE TO BE BOUND THEREBY. IF I AM UNDER THE AGE OF EIGHTEEN YEARS, MY PARENT/GUARDIAN HAS READ AND COMPLETED THE SECTION BELOW. Date: Print Athlete Name: Athlete Signature: Parent Signature: Address: Page 1 of 1

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