For those individuals eighteen (18) years of age and older:

Participant’s Name (PRINT): 

Participant’s Signature: 

Date Signed:

For those individuals under the age of eighteen (18) years (minor):
As the parent and natural guardian or legal guardian of the participant, I hereby agree to the foregoing Waiver of Liability and Release for, and on behalf of, the participant (player/minor) named above. I hereby bind myself, the minor, and all other assigns to the terms of the Waiver of Liability and Release. I represent and certify that I have the legal capacity and the authority to act for, and on behalf of, the minor in the execution of this Waiver of Liability and Release Form. 

Parent or Guardian Name: (PRINT): 

Parent or Guardian Signature: 

Date Signed: