JUNIOR CONSENT FORM

PARENT/GUARDIANS DETAILS

First Name

Last Name

Phone

PARTICIPANT DETAILS

First Name

Last Name

Phone

Date of Birth

Does the participant have any medical or other conditions that we should know about? if yes, please verbally let us know as well.

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I or my dependant may incur as a result of participating in any activity. I/we hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my dependants physical limitations, disabilities, ailments, or impairments which may affect their ability to participate.

I hereby acknowledge and confirm that I and my dependant have read the game rules. And that they will follow all lawful directions from staff at all times.VIEW RULES HERE.

Your Signature