Recreational Sports Injury Liability Consent Form
Please read and complete this form to acknowledge the risks associated with recreational sports and provide your consent.
Participant Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you acknowledge and accept the risks associated with recreational sports activities?
*
Option 1
Option 2
Option 3
Please provide any relevant medical conditions or allergies:
*
Signature of Participant or Guardian
*
Submit
Should be Empty: