The Passing Academy » Waiver Form

Waiver Form

Player's First Name*
Player's Last Name*
Parent/Guardian Name*
Parent Home Phone Number*
Parent Cell Phone Number
Parent Work Phone Number
Parent Other Phone Number
Parent Email Address *
Address*
City *
State *
Zip Code*
I hereby acknowledge that participation in The Passing Academy/camp/workouts and its related activities carries an inherent risk of serious physical and/mental injury. I hereby assume the sole responsibility of all such risk of injury and, by my signature below release The Passing Academy and any affiliated companies, employees and agents thereof from any and all liability arising from injuries sustained by the above named child’s participation in this academy/camp/workouts, to include the failure of any equipment or defects in the premises. I hereby authorize any medical treatment necessary for the child listed above incurred while participating in the academy/camp/workouts as determined by a competent medical authority, hospital or professional medical practitioner.
Check This Box If You Agree To The Above Statement