Pasifika Strength & Conditioning

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Waiver / liability release

Signing up more than one athlete? Complete this waiver for the first child, then add each sibling as a family member so each athlete has their own signed copy.

Pasifika S&C: Youth Training Waiver

Please complete this form prior to your athlete’s first session. This allows us to provide safe, structured, and effective training.

Athlete name: {name}
Date of birth: {dob}
Parent / guardian:
Emergency contact: {contact_name} {contact_phone}
Date signed: {sign_date}

CONSENT
All boxes must be checked before your athlete can participate in our program.

My athlete is able to participate
 I understand training includes running, jumping, lifting
I will inform coaches of injuries outside of usual soreness
My athlete's overall results depend on effort and consistency

LIABILITY WAIVER
I acknowledge that participation in Pasifika Strength & Conditioning programs involves inherent risks, including injury or illness. I voluntarily assume all risks and agree to release and hold harmless Pasifika Strength & Conditioning, its coaches, and staff from any liability arising from participation. I authorize staff to seek emergency medical care if necessary.

I acknowledge that participation involves risks and release Pasifika Strength & Conditioning from any and all liability. I authorize emergency medical care if needed.

MEDIA RELEASE
From time to time, we may capture photos or short videos during training sessions to highlight athlete development and share updates with our community. These may be used for social media, website content, or promotional materials. Athlete names will not be shared without permission.

I agree to the media release

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  • Phone

    650-219-5868

  • Email

    joshuiki@gmail.com


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