Info and Liability Waiver
Information Form
Name/s
*
First Name
Last Name
School/s (if applicable otherwise N/A)
*
Grade/s (if applicable otherwise N/A)
*
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Payment Method?
*
Venmo
CashApp
Venmo or CashApp Username
Emergency Contact
*
First Name
Last Name
Emergency Contact Relation to Client
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Assumption of Risk and Liability Waiver
Assumption of Risk and Liability Waiver
By signing below, you agree to the terms outlined above in the Assumption of Risk and Liability Waiver and that all information provided in the Athlete Form is accurate.
Parent Signature (If athlete is not 18 or older)
Athlete Signature (If 18 or older)
Submit
Should be Empty: