REGISTRATION FORM & WAIVER
Your Team*
First Name*
Last Name*
Date of Birth* ex. MM/DD/YYYY
Your Email*
Mailing Address *
Apt. / Building
City *
State *
ZIP *
Telephone*
Password *
(5 to 12 characters)


Retype Password *

Athlete Waiver, Model Release, Infectious Disease and Release of Liability *

I agree to the Injury Waiver (check the box to agree)

Concussion Awareness Risk Management Program *

I agree to abide by the Concussion Awareness Risk Management Program (check the box to agree)


PLEASE READ: Concussion Fact Sheet for Athletes

Waiver/Release for Communicable Diseases Including COVID-19 *

I agree to abide by the Waiver/Release for Communicable Diseases Including COVID-19 (check the box to agree)


Your Signature *

Type your name to confirm you have read and agree to the terms of registration.
Registration is a confirmation of your acceptance of the Athlete Waiver and Release of Liablity and Concussion Awareness Risk Management Program agreements.
 

 

 

 


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