PLAYER INFORMATION & WAIVER FORM

If you prefer, you may download and complete the PDF form below.

Player Information & Waiver Form (PDF)

Thank you!
We appreciate the opportunity to help you take your game to the Next Level.

PLEASE NOTE: The Player Information & Waiver Form must be completed with parental / guardian and/or emergency contact consent prior to any personal, group or team training, workout, tryout, scrimmage or game, but does not guarantee a roster position.

 

For EMERGENCY and INSURANCE purposes, it is very important that you complete all fields to the best of your ability. This information will need to be updated 1-2 times per year, but please make sure to update this form if you have a change of contact information, including your address, phone numbers, email addresses or emergency contacts.
Thank you for helping us keep you and/or your athlete safe.
CONTACT US

NEXT LEVEL SPORTS GROUP
9876 Chartwell Drive
Dallas, TX 75243
(214) 302-7698
info@nlsportsgroup.com

MAP/DIRECTIONS

BUSINESS HOURS
MON - FRI ...... 2pm - 9pm
SAT ................ 10am - 5pm
SUN ............... 12pm - 5pm
 

PLEASE FILL IN AS COMPLETELY AS POSSIBLE.

SELECT WHAT YOU ARE INTERESTED IN:     (Choose all that apply)
Membership   |Training   |Rentals   |Leagues   |Camps   |Parties   |Teams   |Speed

PLAYER INFORMATION

Full Name:    Gender:     Age:    DOB (M/D/Y): / /

Street Address:    City:    State:    Zip:

Phone:    Grade:    School:

PARENT/GUARDIAN 1 INFORMATION     (Must be 18 or older)

   Gender:    Age:    Date of Birth:

Full Name:    Email:

Home Phone:    Mobile Phone:    Work Phone:

Same Address As Player: YesNo   -   If address is the same as PLAYER'S, leave address fields blank.

Street Address:    City:    State:    Zip:

PARENT/GUARDIAN 2 INFORMATION     (Must be 18 or older)

   Gender:    Age:    Date of Birth:

Full Name:    Email:

Home Phone:    Mobile Phone:    Work Phone:

Same Address As Player: YesNo   -   If address is the same as PLAYER'S, leave address fields blank.

Street Address:    City:    State:    Zip:

EMERGENCY INFORMATION     (Must be 18 or older)

Full Name:    Relation:    Email:

Home Phone:    Mobile Phone:    Work Phone:

Are there any special needs or requirements or anything else you'd like us to know?

How did you learn about us?

INSURANCE & LIABILITY INFORMATION     (Must agree in order to register.)
All coaches, parents and parents of players must provide at own expense any insurance deemed necessary. NEXT LEVEL SPORTS GROUP (NLSG) DOES NOT PROVIDE ANY PERSONAL INJURY OR LIABILITY INSURANCE WHATSOEVER. I waive and release NLSG and any other facility used for the clinics, schools or camps from any injury or illness incurred while attending any NLSG clinics, schools or camps, as well as personal, group or team trainings. I hereby give my permission to allow NLSG coaches or staff to administer emergency medical treatment in the event that I cannot be reached.

I HAVE READ AND AGREE TO THE TERMS, CONDITIONS AND COVENANT WITHIN IT, INCLUDING BUT NOT LIMITING TO THE MINOR RELEASE AND THE WAIVER OF LIABILITY:  RELEASE & AGREEMENT

Agreed to by (your full name): Email: