Student Application Form — Legendary Prep Academy

Legendary Prep Academy Student Application Form

Name

First Name

Last Name

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Number

Parent/Guardian Email

Section 2: Academic Information

Current School

Grade Level Applying For

GPA

List of Extracurricular Activities

Academic Achievements (Honors, Awards, etc.)

Why are you interested in joining our online prep school program?

Section 3: Baseball Background

Baseball Experience (Years of Playing, Positions, Teams)

Have you attended any baseball camps or academies before?

Describe your strengths as a baseball player

What are your areas for improvement in baseball?

Do you have aspirations of playing professional level or college level?

. Any verbal commitments?

Section 4: Additional Information

Have you participated in any community service activities?

Do you have any dietary restrictions or allergies?

Any medical conditions or special considerations we should be aware of?

Section 5: Essay Questions (Please Type)

Explain how you will balance your baseball training and academic studies at Legendary Prep Academy.

What are your short-term and long-term goals in baseball and academics?

PARENT GAURDIAN CONSENT:

I, [Parent/Guardian Name]

First Name

Last Name

consent my child,

First Name

Last Name

applying to Legendary Prep Academy and participating in both the baseball academy and online prep school programs.

SUBMISSION:

PHOTO & VIDEO RELEASE CONSENT

parent/gaurdian of

does hereby consent to Minor’s participation in said production and to Minor being personally identifiable in the resulting media, regardless of production method or type of media, including, without limitation, digital and analog photography, film and videography (with or without sound), and audio recordings (the “Media”) whether captured or created by Releasee directly, or by those acting under Releasee’s direction. Having been sufficiently compensated, Releasor completely and forever releases any current and future financial interest in and any physical or intellectual control of the Media to Releasee and Releasee’s heirs, successors, and assigns so that they may use the Media freely and at their discretion, for any legal purpose, without the need to obtain permission from or to provide any additional compensation to Releasor. Releasor authorizes the universal and unrestricted reproduction of Minor’s voice and/or likeness in connection with the use or manipulation of the Media by Releasee, Releasee’s heirs, successors, assigns, and designees, and those acting with Releasee’s permission and authority, in any form now existing or yet to be invented, for all purposes, including, without limitation, streaming, film, television, other forms of transmission, advertising, art, promotion, solicitation, or trade. Additionally, Releasor waives any right to approve the eventual use or purpose to which the Media may be applied; or to inspect or approve the finished images, videos, advertising copy, artwork, materials, or other audio or visual matter resulting from the Media’s implementation, use, or manipulation, whether in its original form or processed, altered, blurred, distorted, combined with, or used in conjunction with any other media, and will hold Releasee, Releasee’s heirs, successors, assigns, and designees harmless and indemnify same against any claims or demands arising therefrom. This agreement constitutes the sole and complete agreement between Releasee, Releasor and shall be governed by the laws of the state of Arizona . Releasor is not relying on any other warranty, guarantee, or representation, whether oral or written. By signing this release, Releasor affirms that Releasor is of the age of majority and has the right and authority to contract on behalf of the Minor. Releasor has read this entire document, understands its contents, and agrees to the rights and responsibilities it defines for each respective party. This agreement shall be binding upon Releasor, their heirs, legal representatives, successors and assigns.

PARENT/GAURDIAN SIGNATURE

Date

YYYY

PHONE NUMBER

ACH AUTHORIZATION

You authorize a single (1) or regularly scheduled charge to your credit card or bank account. You will be charged the amount indicated below each billing period. A receipt for each payment will be provided to you and the charge will appear on your credit card or bank statement. You agree that no prior notification will be provided unless the date or amount changes, in which case you will receive notice from us at least ten (10) days prior to the payment being collected.

I, (Customer)

authorize Legendary Prep Academy to charge my

for the amount of

On the 1st of each month.

BILLING INFORMATION

BILLING ADDRESS

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

PAYMENT INFORMATION (Check One)

BANK (ACH)

ACCOUNT TYPE

CHECKING

SAVINGS

NAME ON ACCT

BANK NAME

ROUTING NUMBER

ACCOUNT NUMBER

CUSTOMER SIGNATURE

Date

YYYY

Line

Legendary Prep Academy Student Application Form

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