If Student is under the age of 13, only their first initial and last name will be displayed
Instructors Name
Student Age Question
Year Started Training
with AIM USA
Brief Student Bio include accomplishments, goals,
Parents Name
Parents Phone number include area code
Being the Parent of the above child, I authorize AIM USA INC LLC to publish information about my child on the www.aimusainc.com website. ATHLETES IN MOTION LLC, AIM USA INC. LIABILITY RELEASE, I, the parent or guardian of the student(s) listed above do hereby agree to release all liability and claims, against ATHLETES IN MOTION LLC, AIM USA INC, and agree to hold harmless any liability against ATHLETES IN MOTION LLC, AIM USA INC, any sponsoring organization, facility, instructor, and any other party involved, due to any injuries, accidents, negligence, or any other circumstance arising from participation in any ATHLETES IN MOTION LLC, AIM USA INC, public website information. I, the undersigned, as parents/legal guardian of the child submitting information on this form do hereby voluntarily submit their application for participation in the ATHLETES IN MOTION, LLC / AIM USA, INC. website spotlight profile and hereby assume full responsibility for any and all damages, injuries, or losses that they may sustain or incur, if any, while participating, and I waive all claims against the promoters, or operators, or sponsors of ATHLETES IN MOTION, LLC / AIM USA, INC. individually or otherwise for any claim or injuries that they may sustain. I consent that any pictures furnished by me or my child or any pictures taken of me or my child in connection with www.aimusainc.com website can be used for publicity, promotion, videos or television show, and I waive compensation in regards thereto.
Parents Email Address
Information below is just for verification purposes. Will not be published
I have read the terms and agree.
By Checking this box I agree to the terms and willfully submit this information for inclusion on the www.aimusainc.com website
