Athlete Registration Form

Athlete Registration Form

Please fill out the following information to register.

Athlete Information

Name

    Date of Birth

      Gender

        • Male

        • Female

        Phone number

          Email

            Address

              Emergency Contact Information

              Name

                Relationship

                  Phone number

                    Medical Information

                    Allergies

                      Medications

                        Existing Medical Conditions

                          Primary Care Physician Name

                            Liability Waiver and Consent

                            I, the undersigned, hereby release and hold harmless [Your Company Name], its officers, staff, and volunteers from any and all liability associated with participation in athletic activities. I acknowledge the potential risks involved and assume full responsibility for my own safety. I also authorize the organization to administer first aid or seek medical treatment in case of an emergency.

                            Date:

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