Acrobatics Competition Consent Form
Please complete this form to register a participant for an acrobatics competition and confirm the required safety acknowledgment.
Participant Details
Participant Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Gender / Pronouns
She/Her
He/Him
They/Them
Prefer not to say
Other
Competition and Safety Information
Competition / Division Name
*
Primary Discipline / Routine Type
*
Please Select
Acro Dance
Pair Acrobatics
Group Acrobatics
Tumbling
Balance Routine
Floor Routine
Other
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical / Readiness Notes
Consent and Acknowledgment
Submit
Should be Empty: