Destiny Athletics College Football Showcase Physical Waiver Form
Participant Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Parent/Guardian Full Name (if participant is under 18)
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Signature of Participant or Parent/Guardian
*
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