Youth Activity Waiver 2024
* First Name
* Last Name
* Address
Medical concerns or conditions
* Is sponsor authorized to approve medical treatment?
Select one
Yes
No
* Is participant covered by personal/family medical insurance?
Select one
Yes
No
* Name of Insurance
* Policy Number
Release form new 2024 pdf
View Waiver
- You must read/review the 2024 Youth Activity Release Form before signing to agree
* Parent/Guardian Signature
* Emergency Contact and phone number
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