GCA Athletic Waiver

Select Sport

Players First name

Players Last name

Players Date of birth

Month

Day

Year

Parent Names

Address

Phone Number

Email

DISCLAIMER

I am the parent or guardian of the named participant in the GCA Athletic Program. I hereby give my approval to the participant in the scheduled activities of GCA Athletics. I also assume all the risks and hazards to incidental contact or injuries and transportation. GCA Athletics is not responsible for any incidental hazard of any kind.

Initials

Date

I declare that the info I’ve provided is accurate and complete.

Signature

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