Youth Group Sports Activity Waiver Form
Participant Information
Full Name
Date of Birth
Address
Phone Number
Email
Emergency Contact
Emergency Contact Name
Relationship
Contact Phone Number
Medical Information
Allergies and Medical Conditions
Medications Currently Taking
Waiver Agreement
I acknowledge the risks associated with participation in youth group sports activities and hereby release the organizers from any liability.
In case of emergency, I authorize the adult leaders to secure medical care for my child if necessary.
Parent/Guardian Signature
Date
Participant Signature (if applicable)
Date