2020 Gobbler Games - Player Waiver and Emergency Contact Form

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This online form must be signed by the parent/guardian of each player participating in the Gobbler Games.

Email *

Team Name *

Player Name *

Parent/Guardian Name *

Parent/Guardian Contact number *

Emergency Contact Name *

Emergency Contact Number *

Insurance Information:

As parent/ guardian, I understand the risks involved with, my child participating in the Gobbler Games. I verify my child has no physical impairments that increase risk of injury. I understand and agree that Purchase College and its agents assume no responsibility above normal liability insurance coverage for any injury during this function. I authorize personnel to act accordingly in the event of a medical emergency. I also understand that Purchase College is not responsible for lost or stolen personal items.

Parent/Guardian Signature (Type name below) *

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