Indoor Rowing Relay Waiver
Must be submitted by each participant.
First Name *
Your answer
Last Name *
Your answer
Team Name (if known at this time)
Your answer
Address *
(Street, city, state, zip)
Your answer
Email *
Your answer
Phone/Cell number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Do you have a medical condition our staff should be aware of (specified)?
Your answer
Contact Person in case of emergency *
Your answer
Contact Person phone number *
Your answer
Signature *
I attest that typing my name here acts as the equivalent of my signature.
Your answer
Date signed *
MM
/
DD
/
YYYY
Parent/Guardian Name (if under 18)
Your answer
Signature of Parent/Guardian (if under 18)
I attest that typing my name here acts as the equivalent of my signature.
Your answer
Date signed
MM
/
DD
/
YYYY
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