GSM Private Training Waiver & Release Form
Coach Germaine Brown · East Chapel Hill, NC — complete the waiver and sign electronically.
Assumption of Risk: Athletic training involves physical activity, contact, and repetitive movement carrying inherent risk of injury; by signing, parent/guardian acknowledges and agrees to this risk on behalf of the athlete.
Release of Liability: Parent/guardian releases Coach Germaine Brown and GSM Private Training from claims, liability, or expenses from injury during training sessions, except in cases of gross negligence.
Medical Authorization: Permission granted for the athlete to receive emergency medical treatment if parent/guardian cannot be reached.
Photo & Video Release: GSM Private Training may photograph or record sessions for coaching feedback and social media promotion, unless opted out.
Athlete Full Name
*
Athlete Age
*
Athlete School/Team
Parent/Guardian Full Name
*
Parent Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Email
*
example@example.com
Emergency Contact Name and Phone (if different)
Signature (Type Full Legal Name)
*
Typing your name above serves as your electronic signature and confirms you have read and agree to the sections above.
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Opt out of photo/video use for social media
Opt out of photo/video use for social media
Sign & Submit Waiver
Should be Empty: