DominateHERS Waiver — Georgia Buckeyes Youth Football and Cheerleading

Please review and electronically sign the below liability waiver

If you prefer to print and return, waivers can be returned to d.powell@ckcinc.org or brought on the first day of practice

Click to Download Waiver

Electronically complete waiver below:

Participant Name

First Name

Last Name

Date of Birth

YYYY

Emergency Contact Name

Emergency Contact Phone

I HAVE READ AND AGREE TO THE ASSUMPTION OF RISK & RELEASE OF LIABILITY

I HAVE READ AND AGREE TO THE MEDICAL CONSENT

I HAVE READ AND AGREE TO THE PHOTO & VIDEO RELEASE

I HAVE READ AND AGREE TO THE CODE OF CONDUCT

PARTICIPANT ACKNOWLEDGMENT & SIGNATURE

By signing below, I acknowledge that I have read, understood, and agree to the terms of this waiver and release. I affirm that I am legally authorized to sign as or on behalf of the participant (if applicable).

First Name

Last Name

Date

YYYY