The Barracks Sports Academy Liability Waiver
Athlete Information
Athlete's Name
*
First Name
Last Name
Athlete Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
2026
2025
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2023
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2021
2020
2019
2018
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2016
2015
2014
2013
2012
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Year
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Relationship to Athlete
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship
*
Medical Information
Please list any allergies, medical conditions, medications, injuries, or other information the coaching staff should know.
*
Photo Release
Photo & Video Permission
*
Yes, I give permission.
No, I do not.
Liability Waiver
I understand that participation in athletic instruction, camps, clinics, and private lessons involves inherent risks of injury. I voluntarily allow my child to participate in activities conducted by The Barracks Sports Academy. I assume all risks associated with participation and release, waive, and hold harmless The Barracks Sports Academy, its owners, coaches, employees, volunteers, and facility partners from any claims arising from participation, except in cases of gross negligence or willful misconduct. I certify that my child is physically able to participate and that I have disclosed any known medical conditions. I authorize emergency medical treatment if I cannot be reached. I understand that I am responsible for my child's behavior and agree to follow all policies established by The Barracks Sports Academy.
Liability Waiver Acknowledgment
*
I have read and understand the Liability Waiver
Signature
*
Submit
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