Sports Boundary Waiver Form
Please complete this form to acknowledge and accept the sports boundary waiver. Your responses help ensure a safe and enjoyable experience.
Participant's Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit 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 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Emergency Contact
*
Please Select
Parent/Guardian
Sibling
Spouse/Partner
Friend
Other
Select the Sport/Activity
*
Please Select
Soccer
Basketball
Tennis
Volleyball
Other
Date of Event
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please confirm your agreement to the waiver terms.
*
I agree and accept the waiver terms
I do not agree
Submit Waiver
Should be Empty: