Camp Hill Sports Center - Liability Release Waiver 2020-2021
CHSC Waiver Form
Email address *
Reason For Visit (Team/Club Name) *
Untitled Title
Participant Name (Athlete or Spectator) *
Participant Age *
Participant Birthdate *
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DD
/
YYYY
Parent/Guardian Name *
Parent Cell Phone *
Address *
Waiver Document
Waiver Document Page 2 -
Electronic signature (Parent or Guardian if under 18) *
Date *
MM
/
DD
/
YYYY
Submit
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