Use tab to navigate through the menu items.
Football Camp Liability Waiver
Participant First Name
Participant Last Name
Parent/Guardian Full Name
Please specify anything we should know about
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program with the medical staff prior to participating.
Emergency Contact Name
Emergency Contact Phone Number
I hereby give my consent to POOR Athletics Foundation Inc. to use my photographs from this event
THANKS FOR SUBMITTING!