You are on page 1of 2

D R E A M B E L I E V E F O C U S A C H I E V E

HOWELL ATHLETICS
Mountain View High Girls Volleyball & Soccer
Strength and Conditioning
Program

Program Objectives
!Athletic assessment
!Learn proper Weight Lifting technique
!Improve Strength
!Improve Agility
!Improve explosiveness

Date ,Time & Location

!Mon-Weds: 4 pm June 8th – July 8th

!Mountain View High School weight room

Program Cost

!$100 ($10 a session) 10 sessions

Glenn P. Howell
Sports Conditioning Specialist
(520) 907-5777
glennphowell@comcast.net

H o w e l l A t h l e t i c s
D R E A M B E L I E V E F O C U S A C H I E V E

HOWELL ATHLETICS
Release Form

I, _____________________________, have enrolled my child in sports conditioning sessions to
be conducted by Glenn P Howell, Sports Conditioning Specialist. I Warrant that I fully understand
the dangers and risks of strenuous physical activity which include, but are not limited to, death,
serious neck or spinal injuries, heart attacks, muscle strains, pulls or tears, broken bones, shin
splints and heat prostration, occurring during or after participation in an exercise program. I
believe that my child is physically, emotionally, and mentally able to participate in sports
conditioning sessions with Glenn P Howell.
I consent to Glenn P Howell, Sports Conditioning Specialist, training my child, and I knowingly
and freely assume such risks, as are enumerated above, both known and unknown, even if
arising from the negligence of the release or others, on behalf of myself and my child. I, for
myself and my minor child, and on behalf of my heirs, assigns, personal representatives and next
of kin, hereby release, hold harmless, and promise not to make any claim against Glenn P Howell
with respect to any and all injuries and loss arising from my child’s participation in the personal
training program, whether caused by negligence of the release’s or otherwise, except that which
is the result of gross negligence or wanton misconduct.
I hereby affirm that I have read and fully understand this entire agreement and agree to be legally
bound by it.

__________________________
Parent or Guardian’s Name
(Please print or type)
__________________________ __________________________
Parent or Guardian’s Signature Date

__________________________
Child’s Name
(Please print or type)

Glenn P. Howell
Sports Conditioning Specialist
(520) 907-5777
glennphowell@comcast.net

H o w e l l A t h l e t i c s