Next Level Performance Institute Presents

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Instructional Football
Waiver Form

Please complete the form below.

Athlete Name *
Athlete Name
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone *
Parent/Guardian Phone
Emergency Contact Phone *
Emergency Contact Phone
RELEASE OF LIABILITY In consideration of the Edwardsville Next Level Sports Performance program and granting the athlete permission to participate, I hereby state that the Next Level program and the individual’s representing the Next Level program are not responsible for any preexisting injury or recurrence of any undisclosed preexistent injury or illness of the listed athlete. I further acknowledge and release the Next Level program, all coaches, and all its participants with the program from all liability including claims and suits at law or equity for injury that may result from the camper taking part in the Next Level program. *
I, as a parent or legal guardian, acknowledge and fully understand that the participant will be engaging in activities that involve risk or serious injury and that there may be other risks not known or not reasonably foreseen at this time. I assume all the foregoing risks and accept personal responsibility for any damages following such injury, permanent disability, or death. I hereby consent to said minor’ s participation and assume all the risks of his/her personal injury that may result from the camp activities. *