Enroll & Pay — Frank Horowitz Coaching

01 — Program

Enter custom payment amount *Enter the dollar amount you have been instructed to pay.

Total due today: —

02 — Participant

Parent / guardian first name *Parent / guardian last name *Email *Mobile phone *Child first name *Child last name *Child age *Child date of birthOptionalSport / activity *Experience level *Program / group nameIf you have oneGroup nameOptionalPreferred dayPreferred timeEmergency contact name *Emergency contact phone *Additional notes

I confirm that I am the parent or legal guardian of the participant, or I am authorized by the parent or legal guardian to complete this registration.

03 — Waiver

Draft language pending review by qualified California counsel. It is not presented as guaranteed legally enforceable.

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I have read and accept the participation waiver, release and assumption of risk on behalf of the participant.

Typed full legal name *Electronic signature *Type your name to signDateTimestamp

04 — Payment

SDP accepted — please reach out with details and we will handle the rest.

Other Payment — —

Choose your program, complete the waiver, and pay securely.