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Registration: ONE on ONE Lessons - Arizona

Optional Hotel Accommodations:
Lexington Hotel & Suites (480) 837-6565 -Ask For The ‘Coach Zauner’ Rate-
Inn At Eagle Mountain (480) 816-3000
Marriott Courtyard (480) 860-4000

Field Location - turf field:
Fountain Hills High School
16100 E. Palisades Blvd
Fountain Hills, AZ 85268

USER INFORMATION
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First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Email:
Confirm Email:
School Name:
Specialist's Position (Select All That Apply):
Kicker
Kickoff
Punter
Holder
Snapper
Right Foot
Kicker/Punter
Left Foot Kicker/Punter
Dual Foot Kicker/Punter
Height:
Weight:
Shirt:
College Class:
1
Coach's Name:
Coach's Phone:
Coach's Email:
Agent's Name:
Agent's Phone:
Agent's Email:
Additional Comment:
Parent's Name:
1
Parent's Phone:
Parent's Email:
Parent's Cell Phone:
Insured By:
Policy Number:
Do you have any physical restrictions, medical issues, allergies and/or medication requirements?:
Yes  No  

By completing and submitting this registration you are in agreement and accept the terms of the Coach Zauner, LLC Media Release.
Media Release:
Yes  No  
1

TERMS AND CONDITIONS FOR ATTENDING A COACH ZAUNER, LLC PROGRAM:
* Program will be held regardless of inclement weather conditions.
* Program will be re-scheduled if cancelled due to extreme act of nature (Coach Zauner, LLC will offer no refunds).
* Program rules covered at first Coach Zauner, LLC meeting.
* Discipline problems will not be tolerated. Alcohol and all illegal drugs will be prohibited.
* Offenders will be dismissed without a refund.
* Registrants will be liable for any damages they cause while attending a Coach Zauner, LLC Program.

Cancellation Policy:
Lesson Cancellations: Client entitled to re-schedule one time during 90 day period as long as cancellations are made more than 21 days prior to lesson.
Camp Cancellations: All camp cancellations 72 hours or less will be subject to $150 cancellation fee.
Combine Cancellations: Full payment due upon registration with 50% refundable if cancellation is requested, received and acknowledged -in writing- at least 10 days prior to event.

Lessons, Camps and Combines are held at outdoor facilities and will be conducted regardless of weather conditions.

If you are attending a Coach Zauner, LLC Program, you understand and agree to these conditions ('Yes' must be checked by all registrants wishing to participate in any Coach Zauner, LLC Program):

HOLD HARMLESS AGREEMENT:
YOU HEREBY CERTIFY THAT YOU HAVE READ THIS DOCUMENT AND THAT YOU FULLY UNDERSTAND ITS CONTENT. YOU ARE AWARE THAT THIS IS A RELEASE AND WAIVER OF LIABILITY AND A CONTRACT. YOU HEREBY VOLUNTARILY SIGN IT OF YOUR OWN FREE WILL.
By completing and submitting this registration you are in agreement and accept the terms of the Coach Zauner, LLC Consent, Waiver and Hold Harmless Agreement ('Yes' must be checked by all registrants wishing to participate in any Coach Zauner, LLC Program):
I Agree:
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