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Waiver - Bubble Bump Soccer

Complete the participant, signer, and emergency details, then review and sign electronically. Every participant needs a signed waiver before taking part — adults sign for themselves, and a parent or legal guardian signs for a minor child.

Event or organization name

Event date

Participant first name

Participant last name

Participant date of birth

Based on the date of birth above, is the Participant an adult or a minor child?

A
B

Your mobile phone (if Participant is an adult)

Your email (if Participant is an adult)

Allergies, medications, or medical conditions (write "None" if not applicable)

Please Read Before You Sign

Read the full Participation Agreement, Release of Liability, and Assumption of Risk at bubblebumpsoccer.com/pages/waiver-terms before checking "I agree" below.

I have read and agree to the Bubble Bump Soccer Waiver - Terms & Conditions (Release of Liability and Assumption of Risk), and I am the Participant (if 18 or older) or the Participant's parent or legal guardian (if the Participant is under 18)

I authorize emergency medical treatment for the Participant and accept responsibility for its costs

Signature (Participant, if 18 or older; or Parent/Guardian, if the Participant is a minor)

Signature