Online Player Waiver

Please fill in the information below:

Your First Name *
Your Last Name *
Note: below you will be able to add names of your children to this waiver
Address *
City *
State *
Zip Code *
Your date of birth * (mm/dd/yyyy)
Email Address *
Choose the location that you are attending
If you are attending a party/event, please enter the outing information:
Birthday Child’s name or Group Event name
Party/Event Code (if you were given a code by the person organizing the party or outing please enter it here)
Event Date
Event Time

First Name *	Last Name *	Birth Date * (mm/dd/yyyy)