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Pernetti SPN Liability Waiver and Publicity Release
Athlete First Name
Athlete Last Name
Date of Birth
Parent/Guardian First Name (If athlete is under 18)
Parent/Guardian Last Name (If athlete is under 18)
Do You have any known medical issues restrictng you from physical activity?
Click Here View the Full Liability Waiver and Publicity Release Here
I have read and understand the Sports Prospects Networking LLC liability waiver and publicity releasehereby 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.
I declare that the info I’ve provided is accurate & complete
Athlete Signature (Parent Guardian Signature if Athlete is under 18)
Select a date
Thanks for submitting!
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