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Select Clinic*
- Who: Athletes 13+ years old (3.0 GPA minimum)
- What: Elite Athletic Performance Training
- When: 7:15pm- 8:30pm (September 2, 4, 9, 11, 16, 18, 23, and 25)
- Where: 556 Reed Ln (Kakaako)
- Bring: Training Shoes (no cleats or spikes allowed), H2O, and Gatorade
- Cost: $120 for all 8 sessions
  *No Videography/ No prorating/ no refunds/ no make-up sessions
- Who: Athletes 13+ years old (3.0 GPA minimum)
- What: Elite Athletic Performance Training
- When: 7:15pm- 8:30pm (September 3, 5, 10, 12, 17, 19, 24, and 26)
- Where: 556 Reed Ln (Kakaako)
- Bring: Training Shoes (no cleats or spikes allowed), H2O, and Gatorade
- Cost: $120 for all 8 sessions
  *No Videography/ No prorating/ no refunds/ no make-up sessions
PARTICIPANT INFORMATION
Date of Birth
Date Format: MM slash DD slash YYYY
Athlete Name
First Last
Age
PARENT / GUARDIAN INFORMATION
Parent Name
Email*
Home Address*
Street Address Address Line 2 City ZIP / Postal Code
Phone #
September M/W (13+)*
Price: $120.00
September T/Th (13+)*
Price: $120.00
Total (no refunds for missed sessions)
$0.00
Credit Card*

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Card Number Expiration Date Security Code Cardholder Name
LIABILITY WAIVER & PROMOTIONAL/EMERGENCY MEDICAL TREATMENT AUTHORIZATION
I, the parent/legal guardian of “ATHLETE,” hereby acknowledge the value and benefit to ATHLETE from participating in rigorous fitness and strenuous physical activity during the sports performance training (“the Training”) relating to his/her fitness sports performance, and therefore authorize ATHLETE to participate in the Fitness and Sports Performance Training sponsored by Patton Sports Performance LLC. I attest that ATHLETE is healthy and ready to participate in intense training program. I also acknowledge that there are risks of injury (including death) from such participation and hereby assume all such risks. In exchange for ATHLETE being allowed to participate in the Training, on behalf of myself and ATHLETE, we hereby and knowingly and voluntarily completely release Patton Sports Performance, Kenneth Patton, the training facility owners, the State of Hawaii, and any of said partys' employees, agents or volunteers from any and all claims or lawsuits of any type whatsoever, for personal injuries, death, and/or property damage to ATHLETE, myself or anyone else. This is a complete waiver of any and all claims of any type whatsoever that could arise during the Training or that could arise as a result of the Training, other than claims involving gross negligence or willful conduct. We also agree to defend and indemnify the said released parties from all claims or lawsuits that we bring or that is brought on our behalf by anyone relating to the Training.

I also hereby authorize Patton Sports Performance LLC to take my son's/daughter's photograph or video recording free of charge for marketing, advertising, and instructional purposes without compensation to me or ATHLETE.

I acknowledge that Patton Sports Performance/ Kenneth Patton has the right to refuse training at anytime to anyone solely at his discretion.
It is recommended that items of value or worth not be brought to any training/camps/clinics and Patton Sports Performance will not be responsible for any damages or losses.

I also hereby authorize Patton Sports Performance LLC to take my son's/daughter's photograph or video recording free of charge for marketing, advertising, and instructional purposes without compensation to me or ATHLETE.

In case of medical emergency, I grant permission for “Athlete” to receive emergency medical treatment and understand that I am responsible for expenses associated with such treatment.
*
- I have read this release in its entirety and understand its contents. I have signed it voluntarily.

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PARTICIPANT INFORMATION

PARENT / GUARDIAN INFORMATION

LIABILITY WAIVER & PROMOTIONAL/EMERGENCY MEDICAL TREATMENT AUTHORIZATION