Sports Participation Consent Form
Please complete this form to provide consent for participation in sports activities.
Participant's Full Name
First Name
Last Name
Date of Birth
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian's Full Name (if participant is under 18)
First Name
Last Name
Emergency Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Medical Conditions or Allergies
Consent Statement
I hereby give my consent for the participant named above to participate in sports activities organized by the organization. I acknowledge the risks involved and agree to hold harmless the organizers.
Signature of Participant or Parent/Guardian
Date of Consent
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: