Player Registration Register Below Player Basic InformationPLAYER’S NAME *Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis 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