WAIVER | AZ Elite

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AZ Elite Waiver

First name

Last name

Email

Date of Birth

Are there any reasons why you or your child cannot partisipate in all aspects of physical activity? Including cardio, weight trainig, agility drills.

No

Yes

Please specify anything we should know about

Initials

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 may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Thanks for submitting!

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