Sports Camp Liability Waiver
Complete this form to register for the sports camp and acknowledge the liability waiver for participation.
Participant Information
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
*
Parent/guardian full name
First Name
Middle Name
Last Name
Emergency and Camp Details
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Camp Session / Attendance Period
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Waiver Acknowledgment and Signature
Participant or Parent/Guardian Signature
*
Submit Waiver
Submit Waiver
Should be Empty: