WAIVER | CHAMPIONSPIN

CHAMPIONSPIN Liability/Media Waiver

First Name

Last Name

Date of Birth

Phone

Do you have a doctor’s permit to participate in intense physical activities?

Yes

Please specify anything we should know about

Initials

I declare that the info I’ve provided is accurate & complete

I hereby 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.

By voluntarily participaing in physical activity at CHAMPIONSPIN, I grant permission for photos/videos to be captured and used for social media/promotions.

Thanks for submitting!

CHAMPIONSPIN Liability/Media Waiver

SUBSCRIBE HERE!