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Programs Offered
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503) 901-2975
Empiresp@icloud.com
Waiver & Release of Liability
*Entire form must be filled out before participating in any activity at Empire Sports Performance. (Post Covid-19 last document attached)
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Waiver & Release of Liability Child / Adult (POST COVID-19)
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Athlete's Name:
*
Parent / Guardian Name:
*
E-mail address:
*
Emergency Contact Telephone #:
*
Athlete's Telephone #:
*
Athlete's Date of Birth:
*
I have read and agree to the Waiver & Release of Liability stated below.
I will be held responsible for any damages done to any equipment or to the facility.
I give Empire Sports Performance the rights to post any pictures or videos of athlete for promotional, website, or social media use.
I have read and agree to the Waiver & Release of Liability for meal prep and protein shakes stated below.
I have read and agree to the Waiver & Release of Liability Post Covid-19.
Previous or Current Medical Conditions / Injuries:
*
Special Needs:
*
Food Allergies:
*
Captcha (spam protection code) *
Note
: Fields marked with
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Feel free to download or print out a copy for your records.
WAIVER OF LIABILITY for Meal Prep Prote[...]
Adobe Acrobat document [179.1 KB]
CHILD TRYOUT WAIVER.rev2.06252020.pdf
Adobe Acrobat document [257.5 KB]
CHILD WAIVER AND RELEASE OF LIABILITY GY[...]
Adobe Acrobat document [182.6 KB]
WAIVER AND RELEASE OF LIABILITY GYM AND [...]
Adobe Acrobat document [185.4 KB]
Empire Sports Performance Youth Liabilit[...]
Adobe Acrobat document [287.1 KB]