Online Application 2017-07-17T14:03:11+00:00

Call 925 513 – 8676 to make an appointment for an “Intro Session” BEFORE completing  the application.

GAMESPEED SIGNUP FORM


Name:*
Age:*
Address:*
E-mail:*
Instagram:
Facebook:
Snapchat:
Twitter Handle:
Phone:*
-
Phone 2:
-
Parents Name:*
Do Your Parents Work for any Athletic organizations? If So Which One:
School:*
Sport:*
Sport 2:
Travel or Club Team:
How Did You Find Gamespeed:*
Have you ever attended a performance training facility? If so which one, how long?:
Please describe what type of training your looking for:

GAMESPEED
AGREEMENT AND RELEASE OF LIABILITY & PHOTO


1. I acknowledge that I have voluntarily applied to an athletic training program conducted by Aaron Thigpen/Gamespeed. I hereby affirm that I am in good physical condition and do not
suffer from any disability that would prevent me from participating in the scheduled activities, which include but not limited to running, jumping, throwing, and the use of weight resistance or assistance equipment.

2. I am aware that although every attempt will be made to minimize the risk of injury, all athletic activities, including this one, may be considered a dangerous activity. I am voluntarily participating in these activities. I am aware of the dangers involved, which include, but are not limited to heart attacks, muscle strains, sprains, pulls, broken bones, shin splints, heat prostration, knee, back, leg, foot, and neck injuries. I hereby agree to accept any injury or death and verify this statement by placing my signature below.

3. As a consideration for being permitted by Aaron Thigpen/Gamespeed to participate in these activities I agree that I, my assignees, heirs, distributees, guardians, and legal representatives will not make a claim against Aaron Thigpen or, Gamespeed for injury or damage resulting from the negligence or other acts, however caused by Gamespeed, or any employee, volunteer, agent, or contractor thereof, as a result of my participation in the athletic program. I hereby release
Aaron Thigpen and Gamespeed from all actions, claims, causes of action, assignees, heirs, distributees, guardians, and legal representatives now have or may hereafter have for it resulting from my participation in the athletic training program.

4. I have carefully read this agreement and fully understand its contents. I am aware this liability and a contract between myself and Aaron Thigpen/Gamespeed and I sign it of my own free will. It reaffirms my agreement and acknowledges the terms of this document.

5. I undersigned and do hereby grant permission to use the image of my child. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the
Gamespeed website.

Date:*
 / 
 / 
Electronic Signature:*
Electronic Signature:(1)*

Rates, Terms & Conditions

Intro “Tryout” Session: $68

Intro "Tryout" Functional Assessment: Call

Single Session: $47

5 Sessions: $232
Guidelines: One session per week. Six week completion deadline from start of first session.

10 Sessions: $412
Guidelines: Two or more sessions per week. Six week completion deadline from start of first session.

20 Sessions: $772
Guidelines: Two or more sessions per week. Eleven week completion deadline from start of first session.

Monthly Unlimited : $510
Guidelines : Unlimited amount of sessions fora thirty (30 ) day period . No extensions .

One to One private session: starting at $88

Special Programs: I acknowledge separate and differing pricing and terms may apply.

Groups & Teams: Call for price

Payments

Payment due at first scheduled session.

Sessions are prepaid which means payments are due in ADVANCE. .

Acceptable forms of payment are check, cash, credit card or money order (transaction fee will apply to credit card purchases).

Returned checks will be charged a $ 20 fee .

Make checks payable to : AARON THIGPEN or GAMESPEED only ! Payments made to other individuals will NOT be honored.

Cancellation & Missed appointments

No refunds . No Pro-rations .

Please call in the case of cancellation. No shows without notification in the form of a call or telephone message 24 hours prior to the sessions may be charged as a forfeited session at the discretion of the instructor.

Incomplete sessions are left on account for (THREE) 3 months ONLY. If you do not complete your sessions they are forfeit.  In cases of medical reasons a doctor ’s release may be required. If there is an issue please contact Gamespeed immediately. It is your responsibility to notify Gamespeed of any circumstances that affect your attendance.

After a 3 month absence an athlete may be subject to pay fora re-evaluation session .

In the event of trainer cancellation a makeup date will be rescheduled .

Sessions are not transferable unless authorized by Gamespeed .
What happens at Gamespeed, Stays at Gamespeed!


Proprietary Rights
Help us keep your edge.

Gamespeed regards its activities as intellectual property. This “training information” is for the exclusive use of its clientele.

All processes, workouts, equipment and other such information used in the performance of training athletes are not to be copied, sold, shared or replicated for any individuals other than the paying client. The client agrees not to disburse, demonstrate, or illustrate any of the techniques or programs performed at Gamespeed. Any violation of this agreement will mean immediate forfeiture of sessions and termination of services, and possible civil action.

Pictures and/or Video are not allowed during training

Health Questionaire & Release

Check Any Physical Conditions:
Please describe any physical condition identified on the checklist:
Emergency Contact:
Emergency Contact Phone:
-
RELEASE
I know of no physical or medical condition which I, or my Doctor, feel could be aggravated by my using the equipment and facilities or, participating in activities sponsored by this club. I agree to
advise club management in writing if any of the above information changes or if my Doctor advises me to stop, reduce, or otherwise adjust my exercise regimen at the club. I will advise club management immediately if I injure myself in any way while on Club property. The information I have given on this form is, to the best of my knowledge, complete and accurate.
Electronic Signature:(1)(2)*
Word Verification:

Intro (Tryout) $68

Intro (Tryout) Functional Assessment Screen  cash/check  (call)