Team FEAR Consent And Liability Release

Consent And Liability Release Form
Please complete one form per participant.
In order to ensure that a parent has read and consented to the attached consent and liability release, we require an email verification. Please enter your email address below and click the Verify button. An email with a verification code will be sent to your Inbox. (If it doesn't appear in your Inbox, check your Junk mailbox.)

Please cut and paste the validation code into the form and click "Confirm Code".

Once the code has been confirmed, the rest of the form will appear and you will be able to complete the form.
Parent email verification *
Team Information
Team reference *
Please provide your Team Reference (starts with a T) which was emailed to your team after registration.
Team name *
Age Group *

Under 9 Under 10 Under 11 Under 12 Under 13 Under 14 Under 16 Under 19
Team Type *

Boys Girls Mixed
Participant Information
Participant name *

First Name Last Name
Date of birth *

Day Month Year
Gender *

Male Female
School *
Are there any medical issues Team FEAR should be aware of? *

Yes No
Medical Issues
Parent Information
Parent name *

First Name Last Name
Phone Number *
Alternative Number
Parent E-mail *
Alternative Parent E-mail
ADDRESS
Address Line 1 *
Address Line 2
Town *
District *
Consent
Link to consent and liability release
Yes *

I have read and understood the attached consent and liability release and accept it fully.*
Yes

I agree to opt in to receive emails and other communications from Team FEAR.
Date *

Day Month Year
Should be Empty:

Consent And Liability Release Form

Team Information

Participant Information

Parent Information

Consent