Back To School NCAA25 King of the Field

Back To School NCAA25 King of the Field

PS2 Gaming Tournament
Date Today

MonthDayYear
Date
Player Name*

First NameMiddle NameLast Name
Player Date of Birth*

MonthDayYear
Date
Age
Player Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Player Phone Number*

Area CodePhone Number
Player Email*
example@example.com
Parental/Guardian Consent
Parent/Guardian*

First NameLast Name
Phone Number*

Area CodePhone Number
Waiver

I give my child permission to attend the Gaming event on Friday, August 23, 2024 sponsored by Gifted Life and its affiliates. I understand that photos/videos will be taken at the event. If an incident or accident occurs, I will not hold Gifted Life or any of its affiliates liable.
Signature of Parent / Guardian*

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Parental/Guardian Consent