Waiver Form(Form must be filled out by parent or guardian over the age of 18) Name * First Name Last Name Parent/Guardian Name First Name Last Name Email * Phone * (###) ### #### Emergency Contact First Name Last Name How did you hear about us? Google Search Walk In Referral Social Media Emergency Phone (###) ### #### Waiver Agreement Signature * (“Type your full name as your digital signature”) By submitting your digital signature, you are agreeing to the above waiver Agreement. Date Signed * MM DD YYYY Thank you!We are looking forward to working with you!
