Chess Club Activity Waiver Form
Share participant and emergency contact details, acknowledge activity risks, and sign.
Participant full name
*
First Name
Last Name
Participant email
*
example@example.com
Participant phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Participant age group
*
Adult
Minor
Parent/guardian full name
First Name
Last Name
Parent/guardian phone
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency contact full name
*
First Name
Last Name
Emergency contact phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Participant or parent/guardian signature
*
Submit
Submit
Should be Empty: