EFL Annual Waiver & Intake

Full legal name

Email address

Phone number

Date of birth

Month

Day

Year

Age

Sport / activity

Is participant under 18?

Yes

No

I acknowledge and accept the risks associated with participation, confirm the accuracy of the information provided, and agree to the terms of this waiver.

Emergency contact name

Emergency contact relationship

Emergency contact phone

Participant or guardian electronic signature

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Acknowledgment date

Month

Day

Year

Medical notes, current pain, or limitations

EFL Annual Waiver & Intake