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Youth Participation Waiver Form
Fill out this form so we can keep your child safe, supported, and connected during SW Cali Events.
14
Questions
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1
Child's Name
*
This field is required.
First Name
Last Name
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2
Age
*
This field is required.
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3
Parent/Guardian Name:
*
This field is required.
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4
Phone Number
*
This field is required.
Area Code
Phone Number
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5
Email
*
This field is required.
example@example.com
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6
Does your child have any medical conditions or physical limitations that may affect their ability to safely participate in physical activity?
*
This field is required.
YES
NO
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7
Has your child been cleared by a doctor to participate in physical activities such as calisthenics?
*
This field is required.
YES
NO
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8
Is your child currently taking any medication that could affect their physical activity?
*
This field is required.
YES
NO
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9
Do you understand that participation in physical activities carries a risk of injury, and do you consent to your child’s participation at your own risk?
*
This field is required.
YES
NO
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10
Do you give permission for basic first aid to be administered to your child if needed during the meet-up?
*
This field is required.
YES
NO
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11
Do you consent to your child being included in photos/videos taken during the event, which may be used for
social media, WhatsApp groups, or promotional purposes
?
*
This field is required.
YES
NO
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12
I, the parent/guardian, acknowledge the risks associated with my child taking part in
SW Cali Events.
I understand that
it is my responsibility to supervise my child during the session
and that
I am responsible for my child’s safety
.
*
This field is required.
YES
NO
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13
I accept that the organisers, volunteers, and gym staff
are not responsible for any injury, loss, or damage, except in cases of gross negligence.
*
This field is required.
YES
NO
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14
Date
*
This field is required.
-
Date
Day
Month
Year
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