OTAC Playland Waiver
Please fill out the information below for your child(s) to participate in Old Town Athletic Campus program, OTAC Playland
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Email *
Parent First and Last Name *
Parent or Guardian Phone Number *
Parent or Guardian Home Address *
Child 1: First & Last Name *
Child 1: Date of Birth *
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Child 2: First & Last Name
Child 2: Date of Birth
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DD
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Child 3: First & Last Name
Child 3: Date of Birth
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YYYY
Child 4: First & Last Name
Child 4: Date of Birth
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YYYY
Please review waiver terms and agree below. *
Please provide your e-signature below by typing first and last name *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Old Town Athletic Club.