Here is a waiver form you can edit and use for your program:

 

PARENTAL WAIVER AND CONSENT FORM 

As the parent or legal guardian of the child named below, I hereby give my full consent and approval for my child to participate as a team member in the sport designated below.

 I understand that there are certain risks of injury inherent in the practice and play of this sport, as well as in traveling and other related activities incidental to my child’s participation, and I am willing to assume these risks on behalf of my child. I hereby certify that my child is fully capable of participation in the designated sport and that my child is healthy and has no physical or mental disabilities or infirmities that would restrict full participation in these activities, except as listed below.

 In addition to giving my full consent for my child’s participation, I do hereby waive, release and hold harmless the organization named below, its officers, coaches, sponsors, supervisors, and representatives for an injury that may be suffered by my child in the normal course of participation in the designated sport and the activities incidental thereto, whether the result of negligence or any other cause. 

Players added to the roster will be required to pay a fee to participate. The payment of the fee is an acceptance to participate in the designated sport. All fees are non refundable. The registration fee does not guarantee playing time. The coaches have sole discretion as to playing time. Players earn their playing time based upon their attitude, attention, attendance, athleticism, and ability.

 

_________________________________________        _____________________         

                        (Name of Athlete)                                                   (Date of Birth)      

 

 

_________________________________________       _____________    __________

                      (Street Address)                                                (Town)                (State)  

 

 

Please list any physical limitation (allergies, hearing, sight, etc.): ___________________

 

 

 

 

_____________________________________________                              ____________
(Parent/Guardian Signature)                                                                                       (Date)

 

____________________              ______________               _____________

   (Name of Organization)                (Designated Sport)              (Participation Fee)