Waiver | San Diego Athletic Club

First name

Last name

Email

Phone

Date of birth - must be 18+

Month

Day

Year

Must be 18+ to participate in SDAC WP practices and events.

USA Water Polo Number

Bronze USAWP Membership required for participation.

I hereby attest to have read and agree to release liable SDAC WP and assume the inherent risk of participation at SDAC WP practices and events as pertains to the L iability and assumption of risk document outlined in the liability waiver form.

Player signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date

SDAC LIABILITY AND ASSUMPTION OF RISK FORM