MAQ

MAQ 2017 Summer Train and Play Registration

MAQ 2017 Summer Train and Play Registration

Please fill out all of the fields below to register. NOTE: Registration is not complete until payment is made.
  • Please provide first and last name, phone number, AND relationship to the child.
    (THE ABOVE CHECKBOXES MUST BE CHECKED AND WILL BE VERIFIED.) I hereby state that Maq and Dschierbaum LLC in co-operation with The Gym, VF Partners, 19388 Progress Dr. LLC is not responsible for any pre-existing injury or recurrence of any undisclosed pre-existing injury or illness of the above participant. Maq and Dschierbaum LLC will only assume responsibility for injuries incurred while the above participant is participating in activities under supervision during enrolled period, up to the limits of the facility and organizations insurance coverage. I acknowledge that there are natural hazards associated with training and working out as well as related activities indoor and outdoor settings. I hereby affirm that I/and or my child is in good health and physically capable of performing the required activities of this training regime. In consideration of Maq and DschierbaumLLC accepting me/or my child and to the extent permitted and provided and provided by state law, I hereby release and forever discharge Maq/Dschierbaum LLC, its unit, agents and employees from all claim of liability for any damages injuries which may be sustained while I am/or my child is at training. The law requires that personal permission be obtained for medical treatment of minors. The following content form should be signed by the parent so that such procedures may be promptly carried out, and so that no unnecessary delays will occur with treatment. However, no operation will be performed, except emergency without parent’s being contacted and fully informed. I give permission of such diagnostic, therapeutic, and operative procedures as deemed necessary.
    Please send check for registration fee due, PayPal to pay full summer amount, or mark credit card payment and your card will be charged when submission is received. Checks can be made payable to MAQ and sent to The MAQ Center, Attn: Summer Training, 19388 Progress Dr., Strongsville, OH 44149.
  • Credit Card on File*
    Credit card on file will only be charged if invoice is not paid by cash, check or credit card within 14 days. Every athlete must have a valid credit card on file.

Click SUBMIT above first to send all registration info. If you are paying with PayPal, click “Buy Now” below AFTER you have submitted all information.

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