Fulton Little League
Speed and Agility Weekend
At
CNY Speed Training
April 10th and 11th, 2010
“Improving your Game, One step at a Time”
What: Speed and Agility classes specific for Baseball / Softball
Who: Fulton Little League players ages 8-16 years old
– bring a friend!
Where: CNY Speed Training – Kmart Plaza, Rt. 481
When: Saturday April 10th 1-2pm & 2-3pm
Sunday April 11th 2-3pm
Cost: $10 a class. Yes you can take more than one class.
ALL PROCEEDS GO TO FULTON LITTLE LEAGUE!
Class Description: All classes begin with a dynamic warm-up, followed by Nike
SPARQ Training which is designed to make you better at your sport. It combines
equipment, drills and advice from the pros to develop the five fundamentals of
athleticism – Speed, Power, Agility, Reaction, and Quickness. Classes end with static
stretching.
For more information about CNY Speed Training visit: www.CNYspeedtraining.com
 Class times
 Directions
 Training tips
 Instructor Bio’s
 Mission Statement
 Become a Fan on Facebook
CNY Speed Training
Parental Consent and Liability Release Form
PARTICIPANT’S NAME _________________________________________ AGE__________ BIRTH DATE _______________
ADDRESS__________________________________________________________________________________________________
PHONE ___________________________ SCHOOL _______________________________________________ GRADE _________
PARENT(S)/GUARDIAN NAME(S) _____________________________________________________________________________
WORK PHONE(S)/ CELL PHONE(S)_____________________________________/_______________________________________
Email:
Initial this LINE if you do not wish to have your picture / video used in promotional purposes: ____
The undersigned do(es) hereby give permission for our (my) child(ren):
_________________________________________________________________________________________
attend and participate in softball / baseball / SPARQ / sports training(“activity”) .
(“Participant”),
to
LIABILITY RELEASE: In consideration of _________________ allowing the Participant to participate in this activity,
we (I), the undersigned, do hereby release, forever discharge and agree to hold harmless Dennis Dewane, Frank Rey, CNY Speed
Training, Dewane’s Conditioning LLC, their employees, sponsors, and any associated personal from any and all liability, claims or
demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which
may be incurred by the undersigned and the Participant while involved in the activity. We (I) the parent(s) or legal guardian(s) of this
Participant hereby grant our (my) permission for the Participant to participate fully in this activity...
Furthermore, we (I) [and on behalf of our (my) minor Participant(s)] hereby assume all risk of accidental personal injury,
sickness, death, damage and expense as a result of participation in this activity.
Medical Insurance: YES _______ NO _______ Insurance Company: ______________________________________________
Policy/Group ID#: ____________________________________ Emergency Phone #s in case parent/guardian cannot be reached:
________________________________________________________________________________________________________
Allergies or Medical Conditions: _____________________________________________________________________________
Parent/Guardian Signatures ________________________________/_________________________________ Date ___________