College Football Participation Waiver Form

College Football Participation Waiver Form
Please complete this form to provide your information, acknowledge risks, and consent to participate in college football activities.
Participant Full Name
First NameLast Name
Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name
First NameLast Name
Emergency Contact Relationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please list any known allergies or medical conditions (enter 'None' if not applicable)
Health Insurance Provider (if applicable)
Parent/Guardian Full Name (if participant is under 18)
First NameLast Name
Signature of Participant or Parent/Guardian (if under 18)
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