2018-2019 Goalaso Sports Training Waiver and Release of Liability

Player Name *
Player Name
Gender
Date of Birth *
Date of Birth
Address
Address
Cell Phone *
Cell Phone
Parent Name
Parent Name
if under 18 years old
Parent Cell Phone
Parent Cell Phone
if under 18 years old
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Cell Phone *
Emergency Contact Cell Phone
AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY
Signature *
Checking this box certifies that I, as parent or guardian with legal responsibility for the Participant, do consent and agree to the releases provided above.