Free Activity Registration Form Template

Activity Registration Form

Please complete the information below to register for the activity.

Participant Information

Name

    Date of Birth

      Address

        Phone number

          Email

            Activity Details

            Activity Name

              Date

                Emergency Contact Information

                Name

                  Relationship to Participant

                    Phone number

                      Waiver and Consent

                      By signing below, I confirm that:

                      1. I voluntarily agree to participate in this activity.

                      2. I understand and accept that there may be inherent risks associated with this activity, and I assume full responsibility for any injury or loss that may occur.

                      3. I consent to emergency medical treatment if necessary.

                      4. I understand that my information will be handled in accordance with applicable privacy laws.

                      Date:

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