Participant Information

Full Name Date of Birth Address Phone Number Email

Parent/Guardian Information (if under 18)

Parent/Guardian Name Parent/Guardian Phone

Emergency Contact

Emergency Contact Name Emergency Contact Phone

Medical Information

Medical Conditions or Allergies Current Medications

Waiver and Release Terms

I acknowledge participation in the sports camp has inherent risks. I assume all risks of injury or harm and release the camp organizers from any liability.

I have read and agree to the above Waiver and Release.

Participant Signature Date Parent/Guardian Signature (if under 18) Date