Sports Team Class Participation Waiver
Please complete this form to participate in the sports team class. Your responses help ensure your safety and understanding of participation risks.
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
-
Month
-
Day
Year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Relationship
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any allergies or medical conditions we should be aware of (write 'None' if not applicable)
*
Which class or team are you participating in?
*
Please Select
Soccer
Basketball
Volleyball
Swimming
Track and Field
Other
Participant's Signature (parent/guardian if under 18)
*
Submit Waiver
Submit Waiver
Should be Empty: