Warrior Games

Warrior Games Registration Form

Please complete the fields below
Team Name
Team Category - Male or Female*
Team Members Names
Leader/Team Member # 1: Name*

First NameLast Name
Birth Date:*

MonthDayYear
Passport /Identity Card #*
Team Member # 2 : Name*

First NameLast Name
Birth Date:*

MonthDayYear
Passport /Identity Card #*
Team Member # 3 : Name*

First NameLast Name
Birth Date:*

MonthDayYear
Passport /Identity Card #*
Team Member # 4: Name*

First NameLast Name
Birth Date:*

MonthDayYear
Passport /Identity Card #*
Team Leaders Details
Team Leaders : E-mail*
Team Leader : Phone Number:*

Area CodePhone Number
Team Leader: Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
In the event of an emergency contact ?
Name *

First NameLast Name
Relationship
Phone Number:*

Area CodePhone Number
E-mail
Health Questions - Safety First
Has any member of the team ever had asthma, used an inhaler or been troubled with shortness of breath?*
Is any member of the team pregnant or have just given birth?*
Has any member of the team ever had heart disease of irregular heartbeats?*
Has any member of the team ever experienced chest pain of angina?*
Does any member of the team have current physical injuries ?*
Has any member of the team ever passed out, felt dizzy, had chest pain, or had trouble breathing during exercise?*
If you answered YES to any of the above questions the team member may not take part in the Warrior Games
Disclaimer
All Warrior Fitness and Adventure Instructors and their Assistants shall endeavor to advise and guide participants to compete during the games in a proper and safe manner .However Warrior Fitness and Adventure shall not be held responsible for any injuries suffered by any of the participants during the course of games and/or as a result of the games. If any of the participants suffer any sickness or illness they are advised to seek medical advice promptly.
Should be Empty:

Warrior Games Registration Form

Team Members Names

Team Leaders Details

In the event of an emergency contact ?

Health Questions - Safety First

Disclaimer