Athlete's Name *

First Name

Last Name

Athlete's DOB *

MM

DD

YYYY

Parent/Guardian/ Emergency Contact Name *

best person to contact on the date of the event

First Name

Last Name

Parent/Guardian/ Emergency Phone # *

(###)

###

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Event Waiver *

In consideration of gaining access to have my athlete participate in activities associated with the 2025 Flag Football Combine, I do hereby waive, release, and forever discharge Pivotal Sports Performance along with its agents, employees, representatives, executors and all others from any and all responsibility or liability for injuries or damages resulting from my participation in any activities in said program. Also, in consideration of the above factors, I acknowledge the existence of risk in connection with these activities, assume such risks, and agree to accept the responsibilities for any injuries sustained by my athletes participation in the program via the use of the facilities and/or its equipment. Most specifically, I acknowledge and accept responsibility for injuries arising out of those activities that involve risk in any of the following areas, to include but not be limited to: the use of facility equipment; the performance of fitness-related evaluations to assess functional capacity; the participation in group activities related to exercise and activity; incidents that occur within the facility, changing areas, and other areas associated with the Flag Football Combine. Pivotal Sports Performance engages in and uses social media outlets for the purposes of marketing, production of educational materials and enhancing our visibility to those in the performance and training arena. We reserve the right to utilize images, videos or other training related content during training as a means to carry out these initiatives. All minors, NCAA or amateurism guidelines will be followed in order to protect and uphold standards and protect personal privacy. If you wish to abstain from the use of this material please contact a staff member.

I have read and agree to the terms of the event waiver