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Waiver Form
TPC Baseball & Softball Waiver Form
Please take a moment to complete this waiver form. A completed waiver is required for all players participating in any activities with TPC staff and/or in the TPC facilities.
Please enable JavaScript in your browser to complete this form.
Parent/Gaurdian
*
First
Last
Email
*
Email
Confirm Email
Secondary Email
Phone
*
Home Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Select # of Players
*
1 Player
2 Players
3 Players
4 Players
Please select the number of players from your family that will participate and be included on this waiver form.
Student #1 Name
*
First
Last
Gender
*
Male
Female
Birthdate
*
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Student #2 Name
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Student #2 Birthdate
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Student #3 Name
First
Last
Gender
*
Male
Female
Student #3 Birthdate
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Student #4 Name
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Gender
*
Male
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Student #4 Birthdate
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Emergency Contact
*
First
Last
Emergency Contact Phone #
*
I have read, understand and accept the terms of the TPC Waiver
*
Accept
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AND PARENTAL CONSENT AGREEMENT ("AGREEMENT") IN CONSIDERATION of being permitted to participate in any way in The Pitching Center, Inc. activities ("Activities") I, for myself for personal representatives, assigns, heirs, and next of kin: 1. ACKNOWLEDGE, agree, and represent that I understand the nature of The Pitching Center, Inc. Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity. 2. FULLY UNDERSTAND THAT: (a) THE PITCHING CENTER, INC. ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDINGPERMANENT DISABILITY, PARALYSIS, AND DEATH ("RISKS"); (b) these Risks and dangers may be caused by my own actions or inaction’s, the actions or inaction’s of others participating in the Activity, the condition in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASEES" NAMED BELOW; (c) there may be OTHER RISK AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the Activity. 3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE THE PITCHING CENTER, INC., their respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owner and lessors of premises on which the Activity takes place,(each considered one of the "RELEASEES" herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGEDTO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND IFURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such claim. I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. MINOR RELEASE AND I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF THE PITCHING CENTER, INC. ACTIVITIES AND THE MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE’S FROM ALL LIABILITY CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATION AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR’S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.
I have read, understand and accept the payment and cancellation policies
*
Accept
In accordance with the player agreement, I authorize The Pitching Center, Inc. to charge my credit or debit card for the membership and/or class I have registered for. If enrolling in a membership to be billed on a monthly basis I understand and agree to the conditions set forth in the membership agreement. If enrolling in a roster style class and dividing the class fee into monthly payments there is a transaction fee of $4.50/month on each payment after the first. The monthly transaction fee does not apply to the elite membership. I also agree to a $25 failed transaction fee for any payment that is declined and a $25 late fee for any payment not able to be processed within 10 days of the due date. Past due balances that are delinquent more than 60 days are subject to collections. Notice to cancel billing must be made at least 2 days prior to the billing date. Reversals for cancellation with notice of less than 2 days prior to processing will be subject to a transaction fee of $20. I understand and agree to adhere to all payment conditions set forth in the player agreement.
Signature
*
Clear Signature
Date
*
Submit
Pro/College Classic Application
Please enable JavaScript in your browser to complete this form.
Player's Name
*
First
Last
Player's Birthdate
*
MM
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Email
*
Contact Phone #
*
Current Playing Level
*
College Player
Professional Player
Position
*
Pitcher
Catcher
IF
OF
Current School or Pro Organization
*
Planned Membership Duration
*
Indefinite
1 month
3 month
Tell us how long you plan to maintain an active membership in this program. This is not a commitment, just information for capacity management.
Planned Attendance Days
*
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Select one or more days of the week you plan to utilize the facility during off hours. Reminder this is an off hours program. Use REQUIRES reservation through our system.
Signature
*
Clear Signature
I understand that the Pro/College Classic Plus program is an off hours program. If accepted, I will adhere to the facility rules. I will not bring in anyone not known to also have an active membership in this program into the facility during off hours times.
Submit
Silver Strength Program Questionnaire
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Player's Name
*
First
Last
Player's Birthdate
*
MM
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Graduation year
*
2024
2025
2026
2027
2028
Parent's Name
*
First
Last
Player email (for BridgeAthletic)
*
Contact Phone #
*
Contact Preference
*
Text Message
Email
Phone
Resting heart rate
*
The optimal time to take your resting heart rate is right when you wake up in the morning. If you are unable to take it then, make sure to sit down and relax for at least 5 minutes before checking your pulse. Find your pulse and count the beats for 30 seconds. Record that number in the space provided. Tutorial on how to find your pulse: https://www.youtube.com/watch?v=qaZrzoH8Jvk
How long have you been strength training?
*
>1 year
1-2 years
2-3 years
>3 years
Where have you trained previously?
*
TPC lifting classes
High school lifting classes (e.g. Human Performance)
Another training facility
Individual training at home or at a commercial gym
Other
Where do you plan on doing the majority of your training?
*
TPC weight room
Commercial gym
Home gym
Other
IF YOU PLAN ON DOING THE MAJORITY OF YOUR TRAINING SOMEWHERE OTHER THAN TPC, please indicate what equipment you have access to
Barbells and plates
Squat rack
Dumbbells
Kettlebells
Landmine
Cables
Plyo boxes
Sled
Stationary bike
Treadmill
Medicine balls
Resistance bands
Football field or track access
Please indicate any significant previous injuries
Social Media Release
I give my permission for my child to be photographed and recorded for athletic training purposes only.
I agree to give TPC Baseball and Alaina Sekany permission to post photos and videos on their website and professional Instagram pages for athletic training purposes only.
We would greatly appreciate your consent to take and post photos and/or videos of your player on the website and social media of TPC and Coach Alaina’s business accounts to help us reach more athletes and further develop our program. If you are interested in taking a look at the aforementioned accounts, feel free to check out our Instagram pages @tpcbaseballsoftball and @coachalainasekany. Please sign in the space below. If you do not want your child to be featured on our social media pages or website, please leave this field blank.
Social Media Release Signature
Clear Signature
Submit
VE Lifting Questionnaire
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Player's Name
*
First
Last
Player's Birthdate
*
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1920
Graduation year
*
2024
2025
2026
2027
2028
2029
Parent's Name
*
First
Last
Email
*
Contact Phone #
*
Contact Preference
*
Text Message
Email
Phone
How much lifting experience do you have?
*
none
<1 year
1-2 years
>2 years
Where have you strength trained previously?
*
TPC lifting classes
High school lifting classes (e.g. Human Performance)
Another training facility
Individual training at home or at a commercial gym
Other
Please indicate any significant previous injuries or chronic pain that is affecting your movement.
Social Media Release
I give my permission for my child to be photographed and recorded for athletic training purposes only.
I agree to give TPC Baseball and Alaina Sekany permission to post photos and videos on their website and professional Instagram pages for athletic training purposes only.
We would greatly appreciate your consent to take and post photos and/or videos of your player on the website and social media of TPC and Coach Alaina’s business accounts to help us reach more athletes and further develop our program. If you are interested in taking a look at the aforementioned accounts, feel free to check out our Instagram pages @tpcbaseballsoftball and @coachalainasekany. Please sign in the space below. If you do not want your child to be featured on our social media pages or website, please leave this field blank.
Parent Signature for Social Media Release
Clear Signature
Submit
Personal Training Questionnaire
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Name
*
First
Last
Contact Phone #
*
Email
*
Contact Preference
*
Text Message
Email
Phone
Date of birth
*
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31
YYYY
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2019
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2015
2014
2013
2012
2011
2010
2009
2008
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1920
Occupation
*
How much lifting experience do you have?
*
none
<1 year
1-2 years
>2 years
Please describe your lifting experience.
*
Have you experienced any training related injuries?
*
Yes
No
Please describe the injury or injuries.
*
Have you experienced any non-training related injuries that affect your movement?
*
Yes
No
Please describe the injury or injuries.
*
What is your ideal training schedule? How many days per week and which days/times work best for you?
*
What is your resting heart rate?
*
The most ideal time to measure resting heart rate is right when you wake up in the morning, but if you are taking the measurement during the day, make sure you sit down and relax for at least 5 minutes before taking your pulse. Count beats for 15 seconds and multiply that number by 4. Record that number in the space above.
What are your favorite training modalities (i.e. lifting, HIIT, running, pilates, etc.)?
*
What are your least favorite training modalities?
*
Is there anything else you would like me to know before our first session?
Submit
Return to Throw Form
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Date of Birth
*
------------------------------------
Current Playing Level
Pro
College
HS
Other
Current Organization or School
*
------------------------------------
Grad Year
Selected Value:
2025
Date of Injury
*
Injury Type
UCL
Growth Plate
Pronator
Labrum
Rotator
Other
Describe if other
Elbow Surgery
*
None
UCL Reconstruction
Internal Brace
Shoulder Surgery
*
None
RTC Repair
Slap Repair
Date of procedure
*
Treating Physician
*
Physician Phone #
------------------------------------
Physical Therapist
*
PT Phone #
Have you been prescribed a return to throw protocol
*
Yes
No
Are you ready to begin throwing
*
Yes
No
Already throwing
Throwing Start Date
Do you have access to a gym outside of TPC (home or commercial)?
*
Yes
No
Submit
Pitcher Questionnaire
Please enable JavaScript in your browser to complete this form.
Player Name
*
First
Last
Player Birthdate
*
MM
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31
YYYY
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Player Height
Selected Value:
58
SELECT IN INCHES
Player Weight
Selected Value:
10
SELECT IN LBS
THROWS
*
RIGHT
LEFT
BATS
*
RIGHT
LEFT
SWITCH
Grad Year
*
2023
2024
2025
2026
2027
no longer in school
Expected Playing Level - 2024 Season
*
Varsity
JV
Frosh
College
Pro
Current Membership Status
*
Active Varsity Elite Member - Annual
Active Varsity Elite Member - Month
Not an active member
Parent Name
*
First
Last
Parent Email
*
Email
Confirm Email
Player Email
*
Email
Confirm Email
Necessary for True Coach app access
Parent Phone
Previous Power Throwing Experience
*
No previous experience
Participated in Elite Training Classes @ TPC
Private Training @ TPC
Participated in Jr Power Throwing @ TPC
Participated in Adv HS Power Throwing @ TPC
Completed Standard New Student Pitching Evaluation
Completed a Master Pitching Assessment
Participated in velocity training elsewhere
When was there last time you threw?
*
1 - 3 days ago
4 - 7 days ago
8 - 13 days ago
14+ days ago
Throwing Type
*
Game
Bullpen
Flat Ground
Long Toss
How many days per week have you been throwing over the past 4 weeks
*
0
1
2
3
4
5
6
7
How many pitches did you throw in your most recent bullpen or game?
Selected Value:
1
Do you have any current pain, injury or discomfort?
Please describe in detail. Leave blank if none.
Do you have any previous arm injuries?
Please describe in detail. Leave blank if none.
Available Days
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
please select which days of the week you are available for a session.
Please list or describe anything else you'd like us to know about.
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