WAIVER

Pernetti SPN Liability Waiver and Publicity Release

Athlete First Name

Athlete Last Name

Date of Birth required

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?

Yes

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 Release. By signing, I acknowledge and agree to release Sports Prospects Networking LLC from any liability for accidental injury or illness that I may incur as a result of participating in any physical activity associated with this program. I voluntarily assume all risks connected with such activities and consent to participate in the program. Furthermore, I agree to disclose any physical limitations, disabilities, medical conditions, or impairments that may affect my ability to safely participate in the 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 required

Thanks for submitting!