Step 2 of 2 · Required

Athlete intake & liability waiver

Your payment holds the spot — this form gets the athlete on the field. Every athlete in a paid Receiver Takeover program needs their intake details and a signed waiver on file before their first rep. It takes about two minutes.

1 Pay & secure your spot
2 Athlete intake & waiver
← Haven’t paid yet? Start with payment
The program
Which program did you pay for? *

Pick the option you paid for in step one, so we log this intake against the right program.

Please choose the program you paid for.

The athlete

Please enter the athlete's full legal name.

Please enter the athlete's date of birth.

Please enter the athlete's grade and school.

Position *

Please select a position.

So we can tag the athlete when we post clips from sessions. Instagram, X, TikTok, Hudl — whatever you'd like us to use.

Is the athlete under 18? *

Athletes under 18 must have this waiver signed by a parent or legal guardian.

Please let us know whether the athlete is under 18.

Parent or legal guardian

Please enter the parent or guardian's full name.

Please enter your relationship to the athlete.

Contact

Where we send the signed waiver copy, schedules, and session updates.

Please enter a valid email address.

Please enter a phone number we can reach you at.

Please enter an emergency contact.

Please enter an emergency contact phone number.

Medical

Asthma, concussion history, current injuries, medications, allergies — anything a coach should know before the athlete trains.

Agreement

Please confirm you understand and accept the risks.

Please agree to the release of liability to continue.

Please authorize emergency medical treatment to continue.

Please agree to the conduct and payment terms.

Photo & video release *

May we use photos or video of the athlete from training in our promotional material?

Please choose Yes or No.

Signature

If the athlete is under 18, this must be the parent or legal guardian named above.

Please type your full legal name to sign.

Please enter today's date.

Please confirm your electronic signature.

What happens next: submitting this form completes your registration — nothing is charged here, since payment was step one. You'll get a confirmation email with session details and what to bring. Keep a copy for your records — email info@routetakeover.com any time and we'll send one.

Step 2 of 2. Nothing is charged here — payment was step one.