Youth Sports League Participation Waiver

Youth Sports League Participation Waiver
Complete this form to register and acknowledge the participation waiver for the youth sports league.
Participant's Full Name
First NameLast Name
Participant's Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Participant's Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Full Name
First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Emergency Contact Name
First NameLast Name
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
Parent/Guardian Signature
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