This document must be read in full and completed by a parent or legal guardian for all participants under the age of 18, or by the participant if 18 years of age or older, prior to participation in any SI Elite Development program, training session, camp, clinic, or event.
This is a legally binding document. By completing and submitting this waiver, you are giving up certain legal rights, including the right to sue SI Elite Development, its owners, coaches, staff, volunteers, and affiliated parties for injuries, accidents, or losses that may occur during participation. Please read every section carefully before signing.
"SI Elite Development" refers to SI Elite Development, its founder Keith Kiner, coaches, trainers, staff members, volunteers, guest instructors, affiliated athletes, mentors, and any agents acting on behalf of SI Elite Development, operating in the State of Illinois.
"Participant" refers to the athlete named in the signature section of this document who will be taking part in SI Elite Development programs, training sessions, camps, clinics, events, or any related activities.
"Parent/Guardian" refers to the signing adult who is the legal parent or court-appointed guardian of a Participant under the age of 18, or the Participant themselves if 18 years of age or older.
"Program Activities" includes but is not limited to: individual training sessions, group training sessions, drop-in sessions, monthly training programs, speed and agility training, sport-specific skill development, youth mentorship program activities, camps, clinics, scrimmages, demonstrations, community events, travel to and from events, and any other activity organized or facilitated by SI Elite Development.
SI Elite Development provides youth athletic training, skill development, speed and agility conditioning, sport-specific coaching, mentorship, and leadership development programs for athletes ages 5 through 18 in Southern Illinois. Programs currently offered or in development include:
All activities involve physical exertion, athletic movements, contact with equipment, and potentially incidental contact with other participants. Participant understands the physical nature of these activities prior to participation.
I acknowledge and understand that participation in athletic training and sports activities involves inherent risks that cannot be completely eliminated regardless of the care taken to avoid injuries. These risks include, but are not limited to:
I confirm that the Participant is physically capable of participating in athletic activities and has no known medical condition that would prevent safe participation, or that I have disclosed all relevant medical conditions in the health information section of this form.
In consideration of the Participant being allowed to participate in SI Elite Development program activities, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged:
This release includes, but is not limited to, claims arising from:
Illinois Notice: This release is governed by the laws of the State of Illinois. The parties agree that any legal action arising from this agreement shall be brought exclusively in the courts of Randolph County or Jackson County, Illinois. If any provision of this release is found unenforceable, the remaining provisions shall remain in full force and effect.
I agree to indemnify, defend, and hold harmless SI Elite Development and all Released Parties from and against any and all claims, damages, losses, costs, and expenses (including reasonable attorney's fees) arising out of or relating to:
I hereby authorize SI Elite Development staff to:
I acknowledge that SI Elite Development staff are not licensed medical professionals and that any first aid administered is done in good faith as a reasonable response to an emergency situation. I agree that SI Elite Development shall not be liable for medical treatment decisions made in emergency situations when a parent or guardian cannot be reached.
I accept full financial responsibility for any medical treatment received by the Participant, including emergency services, hospital care, or follow-up treatment. SI Elite Development does not provide medical insurance coverage for participants.
SI Elite Development is committed to providing a safe, respectful, and positive environment for all athletes. All participants and their families are expected to adhere to the following standards:
SI Elite Development reserves the right to remove any participant from the program, without refund, for violations of this code of conduct, behavior that endangers the safety of others, or conduct that is contrary to the values and mission of SI Elite Development. This decision rests solely with the program leadership.
SI Elite Development regularly documents training sessions, camps, clinics, and events through photography, video recording, and other media for purposes including but not limited to:
If you do NOT wish for the Participant to be photographed or filmed, you must indicate this below. SI Elite Development will make reasonable efforts to honor opt-out requests, however we cannot guarantee the Participant will never appear incidentally in group content. Opting out does not affect the Participant's ability to enroll in or participate in any program.
All media content remains the property of SI Elite Development. SI Elite Development will not sell or license images of minors to third parties for commercial purposes without separate written consent.
This section applies only to participants (ages 16–18) enrolled in the SI Elite Development Youth Mentorship Program. If the Participant is not enrolled in this program, this section does not apply.
The Youth Mentorship Program places high school athletes (ages 16–18) in a paid, supervised assistant training role working with younger SI Elite Development athletes. Participation in this program involves additional responsibilities and acknowledgments:
Illinois Child Labor Notice: Participants in the Youth Mentorship Program who are under 16 years of age are not eligible for compensation under this program in compliance with Illinois child labor laws. Minimum age for compensated mentorship participation is 16 years.
SI Elite Development collects personal information including names, contact information, age, grade, athletic background, and health information for the purpose of administering programs and ensuring participant safety. This information:
Illinois residents have rights under applicable state privacy laws. To request access to, correction of, or deletion of your personal information, contact us at sielitedevelopment@dreamittoreality.com.
Complete all fields below. Your submission constitutes a legally binding electronic signature under Illinois law (5 ILCS 175 — Electronic Commerce Security Act).
Select the option that best describes this registration so we know how to follow up. Only choose a mentorship option if the athlete is applying for the paid Youth Mentorship Program (ages 16–18).
By default, participation grants SI Elite Development permission to photograph and film the Participant for the purposes described in Section 8. Please select your preference below:
A copy of this completed waiver will be sent to sielitedevelopment@dreamittoreality.com.
Please retain a copy for your own records. This waiver is valid for the current program season.
Thank you. Your signed waiver has been sent to SI Elite Development. Coach Keith will follow up to confirm your registration within 24 hours.
One more step to finish registering:
Go back to the SI Elite registration tab you came from (it's still open behind this one), check the "I agree to the training waiver and liability release" box, and click Submit Registration Request. Your registration isn't complete until you do.
Please save a copy of this page or take a screenshot for your records. (If you didn't open this from the registration page, you can start a registration below.)
Go to Registration →