Player Registration Register Below Player Basic InformationPLAYER’S NAME *Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweDate of BirthAGEGradeCurrent SchoolPrimary PositionSecondary PositionNumber of years playedLast LeagueGuardians InformationFathers NameHomeCellMother's NameHomeCellLIST ANY MEDICAL PROBLEM OR PROHIBITION PLAYER HASPERSON TO NOTIFY IN EMERGENCYEMERGENCY TELEPHONEConsent *The participant does for himself. his legal representatives, successors and assigns, covenant not to sue the Metro Leadership Sports Academy, Inc. (MLSA), itslegal representatives, successors and assigns for any claims, demands, actions causes of action, debts, sums of money, suits, damages, responsibilities andliabilities of whatsoever kind arising out of any injury which may be sustained by the undersigned while participating in any recreational activities of whatsoeverkind (hereinafter referred to as the "Activities") on the Facilities managed by the MLSA, located at its commonly known address of 4960 Covington Hwy,Decatur, GA 30035The undersigned does himself/herself. his legal representatives, successors and assigns, agree to indemnity the MLSA, its legal representatives, successors andassigns, and hold the MLSA, its legal representatives, successors and assigns, harmless from any and all liabilities, claims, demands, suits, actions, causes ofaction, charges, damages, fees or any other legal proceeding brought or made against the MLSA and/or its legal representation, successors and assigns arisingout of or related in any way to, and acts. neglect or omissions, of MLSA, or its guest or others while the undersigned is participating in any activity which maybe reasonably related to the Activities on said facilities.The undersigned does himself, his legal representatives, successors and assigns, agree to pay any and all loss, damages (actual and exemplary), cost,expenses, invoices and bills, including attorneys' fees, incurred regardless of whether paid by MLSA, its legal representatives, successors and assigns as a resultof such claims set forth herein above.I acknowledge that my or my child’s participation in activities at MLSA is voluntary. I hereby certify that I’m over 18 years of age, I have read and agree to allthe above terms and conditions. I am aware that by checking the consent box of this agreement I assume all risks and waive and release all substantial rights that I may have andpossess. ATL MLSA Player Registration Deposit is $500.00Register