Agape Sports Bozeman > Create Account

Registration - Create Account

Parents Infomation:
Mother ⇒	First: Last:
Father ⇒	First: Last:
Address:	A value is required.
Apt, Suite, Etc..
City:	A value is required.
State:	Please select an item.
Zip Code:	A value is required.Invalid format.
Primary Contact Phone:	A value is required.
Dad Alternative Phone:
Mom Alternative Phone:
E-Mail:	A value is required.Invalid format. (This will be your login Username)
Re-Enter E-Mail:
Would you like information emailed?
Account Password:	A value is required.The password doesn't meet the specified strength. (Example: sports2014) Must be alpha-numreric, lowercase and contain at least 6 characters.
RELEASE FORM:	The Agape Sports staff is committed to the safety and welfare of each student attending our activities, therefore: I grant Agape Sports permission to use camp photographs and/or video of my child for promotion and publicity. I understand that Agape Sports only carries secondary insurance for participants and that I will take primary responsibility for any charges occurring in the event that the participant should need any medical attention at any clinic, facility or hospital. The undersigned, intending to be bound hereby, realizing it is Agape Ministries Global desire to give each camper a safe and beneficial opportunity, and realizing each participant is covered by a reputable insurance plan, releases forever Agape Ministries Global and all individual associated therewith, from any and all liability for any injury or damage (including all claims and liability for damage resulting from injuries received from bee or hornet stings and any other insect bites) which may be sustained by the undersigned and/or child of undersigned or property of the same at or in transit to or from any conducted activity or under the auspices of Agape Ministries Global. I hereby give permission for the release of pertinent medical information regarding my child to all appropriate Agape Ministry Globals Staff. IN CASE OF AN EMERGENCY, I hereby give permission to the medical staff selected by Agape Sports staff to hospitalize, secure proper treatment for and to order injection or surgery for my child as named at registration. We are also committed to keeping the cost down for families; therefore we have an equipment policy: We work hard at making sure all our equipment is safe and in proper working order. So, we desire that all the equipment is returned in the same working order you received it as. If the equipment is not returned, or is not in the proper working order, you, the parents, will be required to pay for the equipment. The following is a breakdown of the cost of each item: Helmet: $110 Shoulder pads: $50 Pants: $20 Pads for pants: $15 Additionally, Our activities can result in injury and/or possible something worse. Therefore, I have hereby read and understand the above information. ⇒⇒ I agree to Polices set forth by Agape Sports Bozeman You must agree to Agape Sports Bozeman Policies to continue, check the box above!
Verify you are HUMAN ⇒