THE HOUSE OF SPORTS WAIVER AND RELEASE FORM
OPEN GYM PROGRAM 10 SESSIONS
WHERE THE GAME NEVER ENDS!
Parent Full Name *
Your answer
Team Name *
Your answer
Player's Full Name / Age / School Grade *
Your answer
PARENT SIGNATURE: (by typing in your name you acknowledge that it is a substitute for your signature) *
Your answer
Indicate Date and Time Form is Accomplished *
MM
/
DD
/
YYYY
Time
:
Email (emergency information)
Your answer
Cell Phone (emergency information) *
Your answer
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