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Register (Long Island Organic)
Caroline Tarnofsky
2023-09-28T15:16:35-04:00
2023 ATHLETE REGISTRATION
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Locations
*
Nashville, TN - December 9th - (Volleyball)
Boston, MA - December 9th - (Lacrosse)
Email Address
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Participant's Name
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First
Last
U.S. Street Address
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Date of Birth (MM/DD/YYYY)
*
MM slash DD slash YYYY
Grade
*
Grade in school
High School 9th Grade
High School 10th Grade
High School 11th Grade
High School 12th Grade
Please list your grade for the 2023 fall semester.
High School Name
*
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High School or Club Coach
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Contact Consent
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The information you provide does not imply an obligation to serve. By checking this box, you agree to be contacted by the Marine Corps to receive information about opportunities for service and careers as a United States Marine.
Contact Consent (Optional)
By checking this box, you are requesting to receive information from the Marine Corps and may be contacted directly by a local USMC Recruiter to learn more about what it takes to become a Marine. You will be contacted via the information provided in this form and your personal information will be used for recruiting purposes only.
Social Media
Follow us at @USMCSLA... We'll follow you back!
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Participation and Publicity Waiver
*
I agree to the below stated Participation and Publicity Waiver.
PARTICIPATION AND PUBLICITY WAIVER: Participant (or his/her parent or guardian) hereby acknowledges that he/she has no medical and/or health conditions that would pose a risk to participant while conducting any and all activities offered in this Marine Corps Sports Leadership Academy Clinic event. Participant acknowledges the inherent risks posed by the physical activities involved in this program and hereby waives any and all claims against BRAINBOX Immersive Marketing, the United States Marines, or any facility that the program is being conducted at related to any injuries incurred including from known or unknown preexisting health and/ or medical conditions. COVID-19 WARNING: Participant (or his/her parent or guardian) agrees to follow local, state, and national guidelines regarding COVID-19 specifically social distancing and face coverings and refrain from having in-person gatherings which do not adhere to local, state, and national guidelines while participating in the Marine Corps Sports Leadership Academy Clinics. According to the Centers for Disease Control and Prevention, senior citizens and persons with underlying medical conditions are especially vulnerable. By participating in the Marine Corps Sports Leadership Academy Clinics, you voluntarily assume all risks related to exposure to COVID-19 and hereby waive any and all claims against BRAINBOX Immersive Marketing, the United States Marines, or any facility that the program is being conducted at. PUBLICITY. The participant (or his/her parent or guardian) hereby consents to the use without compensation, of his/her name and/or likeness, image, voice, appearance and/or performance as embodied in the Product whether in printed or digital publications or recorded on or transferred to videotape, film, slides, photographs, audio tapes, digital media or other media, now known or later developed. This grant includes without limitation the right to reproduce, edit, mix or duplicate and to use or re-use the Product in whole or part in publicity and advertising concerning the Event, and Event sponsors and/or their promotion in any and all media as the Event Organizers may elect. The Event Organizer or its designee shall have complete ownership of the Product in which I appear, including copyright interests, and I acknowledge that I have no interest or ownership in the Product or its copyright.
Participation and Publicity Waiver
*
I agree to the below stated Participation and Publicity Waiver.
PARTICIPATION AND PUBLICITY WAIVER: Participant (or his/her parent or guardian) hereby acknowledges that he/she has no medical and/or health conditions that would pose a risk to participant while conducting any and all activities offered in this Marine Corps Sports Leadership Academy Clinic event. Participant acknowledges the inherent risks posed by the physical activities involved in this program and hereby waives any and all claims against BRAINBOX Immersive Marketing, the United States Marines, or any facility that the program is being conducted at related to any injuries incurred including from known or unknown preexisting health and/ or medical conditions. COVID-19 WARNING: Participant (or his/her parent or guardian) agrees to follow local, state, and national guidelines regarding COVID-19 while participating in the Marine Corps Sports Leadership Academy Clinics. According to the Centers for Disease Control and Prevention, senior citizens and persons with underlying medical conditions are especially vulnerable. By participating in the Marine Corps Sports Leadership Academy Clinics, you voluntarily assume all risks related to exposure to COVID-19 and hereby waive any and all claims against BRAINBOX Immersive Marketing, the United States Marines, or any facility that the program is being conducted at. PUBLICITY. The participant (or his/her parent or guardian) hereby consents to the use without compensation, of his/her name and/or likeness, image, voice, appearance and/or performance as embodied in the Product whether in printed or digital publications or recorded on or transferred to videotape, film, slides, photographs, audio tapes, digital media or other media, now known or later developed. This grant includes without limitation the right to reproduce, edit, mix or duplicate and to use or re-use the Product in whole or part in publicity and advertising concerning the Event, and Event sponsors and/or their promotion in any and all media as the Event Organizers may elect. The Event Organizer or its designee shall have complete ownership of the Product in which I appear, including copyright interests, and I acknowledge that I have no interest or ownership in the Product or its copyright.
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