FCT Waiver and Release Form
Email address *
Team Name *
Your answer
Team Division *
Player Last Name *
Your answer
Player First Name *
Your answer
Parent or Guardian Name *
Your answer
Emergency Contact Phone Number *
Your answer
Zip Code *
Your answer
FCT Waiver & Release Form
By Clicking "I agree" - You acknowledge, agree to and understand the FCT Waiver and Release Form as well as the Concussion Information Sheet *
Required
Today's Date *
MM
/
DD
/
YYYY
Time of Date *
Time
:
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service