FREE Fitness Training Please complete the following: Your Name* Your Email* Gender* malefemale Age* Cell Phone* Which classes will you attend? Check all that apply: Monday, December 6th, 6:30pmTuesday, December 7th, 6:30pmThursday, December 9th, 5:30pmSaturday, December 11th, 11:30pmMonday, December 13th, 6:30pmTuesday, December 14th, 6:30pmThursday, December 16th, 5:30pmFriday, December 17th, 2:00pm What type of workouts are you interested? Check all that apply: Total BodyLower BodyUpper BodyHigh ImpactLow ImpactCardioStretching & FlexibilityCore & MobilitySpeed & Agility I hereby authorize Future All-Stars Sports Development Academy to act for me in judgment in any emergency requiring medical attention. I hereby waive, release and indemnify Future All-Stars Sports Development Academy, it’s consultants, employees and Bo Porter of all legal responsibilities in the event of injury. I know of no mental or physical problems, which might affect my ability to safely participate in this program. I will be responsible for any medical charges in connection with my attendance of the program before, during or while leaving any activity. Please list any health or medical problems. I hereby give my full permission for the use of my name, picture, image, video, likeness, actions, voice, or other personally identifiable information, in whole or in part, individually or in conjunction with other images, captured by any means as part of my participation in any Future All-Stars Sports Development Academy and/or an affiliate sponsored event. I waive all rights of privacy or compensation, which I may have in connection with such use of my name, picture, image, video, likeness, actions, voice or other personally identifiable information, to be used by Future All-Stars Sports Development Academy and/or its affiliates and/or sponsors for promotional purposes in any media whatsoever.