Athletic Participation Waiver Form
Complete this form before participating in an athletic activity.
Participant Full Name
*
First Name
Last Name
Participant Age Category
*
Adult
Minor
Participant Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Sport or Athletic Activity
*
Participation Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Waiver Acknowledgment: I understand that athletic participation involves inherent risks, accept those risks, and, as the participant or guardian, release the organizer from liability for ordinary risks to the extent stated in this waiver.
*
I acknowledge and agree
Participant Signature
*
Guardian Printed Name and Signature
*
Submit
Submit
Should be Empty: