Participant Information

Participant Name Date of Birth Address City State Zip Code

Parent/Guardian Information

Parent/Guardian Name Phone Number Email

Emergency Contact

Emergency Contact Name Relationship Phone Number

Medical Information

Allergies or Medical Conditions

Waiver and Release

I, the undersigned parent/guardian, hereby agree and understand that participation in the Youth Sports Camp involves physical activity and risk of injury. I release and hold harmless the camp staff, organizers, and sponsors from any and all liability or claims arising out of or in connection with my child's participation.

I have read and agree to the above waiver and release.

Youth Sports Camp Waiver and Release Form

Participant Information

Parent/Guardian Information

Emergency Contact

Medical Information

Waiver and Release