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Waiver & ATHLETE INFORMATION

Please fill out the questionnaire and waiver below. You can download a PDF copy of the waiver agreement here. If you have any questions, please contact us.

First & Last Name*

Birthday*

Are you 18 years of age or older?*

Name of School or Team

Sport

Phone Number

Home Address

How did you hear about

Any special health and physical considerations? If yes, please explain

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