Children's Adaptive Team Sports - Registration
Children's Adaptive Team Sports - Creating memories, one game at a time
Registration
Registration is now open for Fall 2018! Registration includes 6 one hour sessions, trophies, and an end of the season party! T-shirts are sold separately as needed by each athlete.
 
Ignite Kids Club
3850 Dulles S Ct,
Chantilly, VA 20151
Hours: Saturdays 1pm
BASKETBALL


Ignite Kids Club-Basketball
Chantilly, VA


Ignite Kids Club - Soccer 
Chantilly, VA


Siblings-






















Phase Cheer and Dance
14807 L Willard Road, Chantilly VA 20151
Sundays at 12pm, 1 hour sessions

To register please email Holly Senn at hesenn23@msn.com and also  fill out the REGISTRATION FORM below.



Elevate Sports Training
7226 Lockport Pl, Lorton VA 22310 
Hours: Saturdays, 5pm; 1-hour sessions

BASKETBALL

To register please click on "Pay Now" and also  fill out the REGISTRATION FORM below.

Elevate Sports Training
Lorton, VA














Registration Form
First Name
Last Name
Home Phone
Cell Phone
Address
Gender
Diagnosis
Email Address
Date of Birth
Location/Sport
T Shirt Size
Parent's Name
How did you hear about us?
Strengths and Weaknesses: What are some of your child’s strengths as it relates to being part of a group and playing with others? What areas do you feel your child needs the most improvement?
Previous Experiences: Please list any previous sports teams or group activities your child has participated in. What were some of the pros and cons of the experience?
Reinforcers: What motivates your child to participate and cooperate? Are there any specific phrases, gestures, characters, items that are highly motivating?
Restrictions: Does your child have any restrictions we should be aware of?
Goals: What do you hope your child gets out of this experience with CATS? (Fun, Friends, Social Skills, Sports Skills, Ability to follow directions).
As lawful consideration for my minor child being permitted to participate in the Program, I agree that neither my minor child n or I will make a claim against, sue, attach the property of or prosecute Children's Adaptive Team Sports, the YMCA, the Nzone, and their officers, directors, agents, suppliers, contractors, representatives and employees for damages for death, personal injury or property damage which my minor child may sustain as a result of my child's participation in these sporting activities. This release is intended to discharge in advance Sports Plus, MCPS and their officers, directors, agents, contractors, su ppliers, representatives and employees from and against any and all liability, including for negligent actions, arising out of or connected in any way with my minor child's participation in the C.A.T.S. Basketball Program, or any other activity except for liability that may arise out of the willful or wanton misconduct of C.A.T.S. and their officers, directors, agents, contractors, suppliers, representatives and employees. I FURTHER UNDERSTAND THAT SPORTS AND THIS PROGRAM INVOLVE PHYSICAL CONTA CT AND INHERENT DANGERS, THAT SERIOUS ACCIDENTS OCCASIONALLY OCCUR DURING SUCH SPORTING ACTIVITIES, AND THAT PARTICIPANTS IN SUCH SPORTING ACTIVITIES OCCASIONALLY SUSTAIN SERIOUS PERSONAL INJURIES (INCLUDING DEATH) AND/OR PROPERTY DAMAGE, AS A CONSEQUENCE THEREOF. KNOWING THE RISKS OF PARTICIPATION, NEVERTHELESS, I HEREBY AGREE THAT MY MINOR CHILD AND I ASSUME THOSE RISKS AND RELEASE AND HOLD HARMLESS C.A.T.S., AND THEIR OFFICERS, DIRECTORS, AGENTS, CONTRACTORS, SUPPLIERS, REPRESENTATIVES AND EMPLOYEES WHO (THROUGH NEGLIGENCE OR CARELESSNESS) MIGHT OTHERWISE BE LIABLE TO ME, MY MINOR CHILD (OR OUR HEIRS OR ASSIGNS) FOR DAMAGES. My child and I agree to follow all laws, rules and guidelines regulati ng the conduct of the program. I agree that C.A.T.S. and their agents, sponsors and employees may use my child's photograph or video image in future promotions. I further agree to have an adult present and responsible for my child during class. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND AND AGREE WITH ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY FOR MYSELF AND MY CHILD AND A CONTRACT BETWEEN MYSELF, MY CHILD AND C.AT.S., AND THEIR OFFICERS, DIRECTORS, AGENTS, SPONSORS, CONTRACTORS, REPRESENTATIVES AND EMPLOYEES, AND I HAVE SIGNED IT OF MY OWN FREE WILL.
I agree/accept
I do not agree
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