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"Train up a child in the way he should go, And when he is old he will not depart from it". -Proverbs 22:6
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Mandatory Waiver & Release Policy
Image Use and Release Policy
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RPA's Waiver & Release
Please fill out the following form in order to participate in RPA Training.
Athlete's First Name
Athlete's Last Name
Email
Athlete's Date of Birth
Have you been hospitalized in the last 12 months?
*
No
Yes
Are you suffering from a medical condition, illness, or injury?
*
No
Yes
If you answered yes to any question, please elaborate
Emergency Contact Name
I declare that the info I’ve provided is accurate & complete and the athlete & parents/guardians have read RPA's Waiver Release Policy and understand the policy.
Parent's/Guardian's Full Name Typed Here
Submit
Thanks for submitting!
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