Please complete this Return to Play Waiver in its ENTIRETY

Parent / Guardian Name

First Name

Last Name

Phone Number

(###)

###

####

Player One Name

First Name

Last Name

Player One Team

EX: 10U black, 11U white, 7U red.

Player Two Name

First Name

Last Name

Player Two Team

EX: 10U black, 11U white, 7U red.

Player Three Name

First Name

Last Name

Player Three Team

EX: 10U black, 11U white, 7U red.

I certify under penalty of perjury that the above information is complete and accurate.

Agree