Pivot Sign-up Form

I, the undersigned parent/legal guardian of the child named above, agree to the following:

1. I understand that participation in basketball training involves inherent risks, including the risk of injury, accidents, or property damage.
2. I voluntarily assume all risks associated with participation and agree that Pivot KY LLC, its owner (William Gary), coaches, staff, and facility providers shall not be held liable for any injuries, accidents, medical expenses, or damages incurred during or as a result of training sessions.
3. I hereby waive release, and discharge any and all claims for damages, personal injury, or loss that I or my child may have against Pivot KY LLC and William Gary, arising out of participation in this program, whether caused by ordinary negligence or otherwise.
4. I acknowledge that I am solely responsible for any medical or accident costs that may arise.
5. I also agree to be financially responsible for any intentional damage to the facility  or equipment caused by my child during sessions.

Consent & Signature

I have read and agree to the terms outlined above and confirm my child's participation in the Pivot KY LLC training program.

{contact_name}

{contact_relation}

{sign_date}

Player Name: {name} 

Parent/Guardian Name: {contact_name}

Phone: {contact_phone}

Program schedule:

Pivot basketball training membership begins upon signing this document. Payment is required upfront each month via Autopay. No partial refunds for missed sessions. Makeup sessions may be offered within the same month if space allows.

Payment Authorization:

By signing below, you agree to enroll your child in Pivot KY LLC's basketball skills program and authorize monthly charges of {membership_fees} until a proper cancellation has been processed. 

You understand:

• Payment is due a month after membership begins via automatic billing
• Your spot is reserved only when payment is received
• There is a 30-day cancellation policy. Written notice is required to terminate future payments.

Parent/Guardian Name: {contact_name}

Parent/Guardian Signature:

Date of Signature: {sign_date}