Registration & Release E-Waiver
Hello! Please fill out and submit this E-Waiver.
Athlete Information
Athlete Name
*
Athlete Gender
Athlete Age
*
Athlete Date Of Birth
*
-
Month
-
Day
Year
Date
Athlete Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Athlete Phone Number (if applicable)
Athlete Community Texting Group Opt-In
I would like to opt-in to our Athlete Community Texting Group for the latest Core Athletics update and special offers? Standard message and data rates may apply. You may opt-out at any time.
Athlete Email (if applicable)
example@example.com
School Name
*
Do NOT abbreviate. Please write out full school name. Ex: Michigan High School
Athlete's Signature
*
Parent/Guardian Information
Parent/Guardian Name
Relationship to Athlete
Parent/Guardian Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Phone Number
Parent/Guardian Email
example@example.com
Parent/Guardian Signature
*
Emergency Information and Permission to Provide Emergency Assistance
Emergency Contact
*
Emergency Contact Phone Number
*
Relationship To Athlete
*
Does the athlete have any medical conditions or medications of which we should be aware? ____________ If yes, please explain:
Submit E-Waiver
Should be Empty: