Kingdom Elite Waiver

Parents First Name *

Parents Last Name *

Address

Street Address *

City *

State *

Postal Code *

Phone *

Email *

Athlete Name *

Athlete Date of Birth *

Reason for Completing Waiver

Parent Permission Release

I agree to the Parent Permission Release as outlined above *

Release of Liability

I agree to the release of liability as outlined above *

Enrollment Policy Terms

I agree to the Enrollment Policy Terms as outlined above *

Today's Date *