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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
*
required
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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