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.
- Acknowledgment of Risk
I, as parent or legal guardian of the minor child/children named above, acknowledge that athletic testing—including the broad jump, high jump, and 20-yard dash—carries inherent risks of physical injury. These risks include, but are not limited to, muscle strains, sprains, fractures, ligament tears, falling, collisions, and exhaustion. I verify that my child is physically fit and cleared to participate in these athletic activities.
I understand and agree.
2. 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.
3. 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 grant permission.
Pasifika Strength & Conditioning