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Player Waiver

Pro-D Day 1v1 Skills Camp | Oct 23 | Full Day

We are looking forward to having your player at our camp.

For the safety and wellbeing of your child, please fill out the 2020 Elite Training waiver for each attendee.
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Last Page
Participant First Name *
Participant Last Name *
Participant Preferred Name
School Grade This Year *
Participant Date of Birth *
Participant Gender *
Parent/Guardian #1 Name *
Parent/Guardian #1 Phone Number *
Parent/Guardian #1 Email *
An account will be created for you to save your waivers for the season, please provide a password
Password
Create your account password
Confirm Password
Confirm you password
Parent/Guardian #2 Name
Parent/Guardian #2 Phone Number
Parent/Guardian #2 Email
Emergency Contact Name *
Emergency Contact Phone *
Emergency Contact Relationship to Participant *
Does the participant have any allergies? *
If Yes, Please Specify
Does the participant carry an epi-pen? *
If yes, where is it kept so we are aware
Medical Notes (allergies, medical conditions, medications, or anything our coaches should know)
Guardian Consent for Emergency Medical Treatment *
Consent for Participation in All Activities *
Media Release Consent for Photos/Videos
Typed Signature (type your full legal name to sign) *