Select Session (choose one): (Session A) 10:30-11:30 SENIORS: Age 15+, fast-paced and unassisted(Session B) 10:30-11:30 CHEERLEADING: All ages, 5+(Session C) 11:30-12:30 SENIORS AND INTERMEDIATES: Age 13+, learning skills/needing assistance(Session D) 11:30-12:30 JUNIORS: Age 5-10(Session E) 12:30-1:30 INTERMEDIATES: Age 11+, experienced, needing little or no assistance(Session F) 12:30-1:30 JUNIORS: Age 5-10 (same as Session D)

First Name

Last Name

Email Address

Phone Number

Street Address

City

State

Zip Code

Parent/Guardian Names

Birthday

Age

School

Special Needs/Requirements
WheelchairWalkerNonverbalSeizuresOther:

Shirt Size
Youth SYouth MYouth LAdult SAdult MAdult LAdult XLAdult XXL

I give authorization for my child to participate and do hereby release any liability for injury that may occur while participating as a player or spectator during the season. Parent and/or guardian must be present and visible during all Beautiful People games and/or events. E-signature

I hereby grant Beautiful People, its affiliates, franchises, advertising and promotional agencies, and their agents, the irrevocable, unrestricted right to use, publish, display and distribute materials bearing my name, voice, likeness or any other identifiable representation of myself, my family members including my player/child. These materials may appear in any form, style, color or medium whatsoever (including, without limitation, photographs, video tapes, films, sound recordings, software, drawings, prints, broadcast, internet and electronic media). I agree that all material containing any identifiable representation of me (including, without limitation, all negatives, plates and masters of any photographs, files, prints or tapes) shall be and remain the sole and exclusive property of Beautiful People. I hereby release and forever discharge Beautiful People from any and all liability and damages relating to the use of my name, voice, likeness or any other identifiable representation of me. I hereby waive any right I may have to inspect or approve the finished materials or any part or element there of that incorporates my name, voice, likeness or any other identifiable representation of myself, my family including my player/child. I have agreed to the above in consideration of the opportunity given to me by Beautiful People, to appear in these materials. I acknowledge that I have fully read and understand this document and that I have had any questions regarding its effect or the meaning of its terms answered to my satisfaction. I certify that I am at least 18 years of age, unless this document is also signed by my parent or legal guardian. E-signature

Name of Parent or Guardian

Date

Payment information
Payment of $50 will be made online at www.beautiful-people.us$50 Check or Cash will be mailed to Beautiful People: 28 Church Street, Suite 2A, Warwick, NY 10990Paid via Tri-sportFinancial Assistance Needed