Waiver

Purpose Field

Informed consent agreemeNt: i have hereby read and agreed to the terms stated in the purpose field informed consent documenT.

This is my digital signature:

* Indicates required field

Name (Parent/Guardian) *

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Last

Email *

Name (Athlete) *

First

Last

Athlete’s Birthdate (MM/DD/YY) *

Today’s Date (MM/DD/YY) *

Physical Limitations/Previous Medical Conditions *

Submit

"In the world you shall face tribulation, but be of good cheer; I have overcome the world."- John 16:33