WAIVER | Mat Return Wrestling

New Participant
Liability Waiver

First name

Last name

Date of Birth

Emergency Contact

Emergency Phone Number

What brings you to Mat Return?

Do you have any medical conditions that may hinder your ability to participate in intense physical activity?

Yes

Please specify anything we should know about

Initials

I declare that the info I’ve provided is accurate & complete.

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

I accept these Terms of Participation.View terms of participation.

We've received your submission.

Thank you!

New Participant Liability Waiver

New Participant
Liability Waiver