INDOOR Sports Release Form

Parents or legal guardians for children under 18 years of age.  By submitting the below form you agree to the following.  I release INDOOR Sports and all employees of all liability for any injuries that may occur while participating in any activity at INDOOR Sports.  Also as the legal guardian by checking the Release of liability box below I agree and authorize emergency medical treatment in the event of an emergency if one should occur. 

Date of Tournament:
Name your game:
Enrollment Cost:
First Name:
Last Name:
Age:
Birth Date:
Street Address:
City:
State:
Zip:
email address:
Phone:
Release liability of injury: YES NO
Guardian if under 18:
Emergency Contact:
Relationship:
Phone:
Card Number:
Card Type:
Expiration Date:
V Code 3 digit on back: