Tuck and Run Foundation – Program Registration & Waiver Form Participant InformationParticipant Full Name *Date of BirthAgeSchoolProgram SelectionPlease select the program your child will be participating in:SelectProgramLife Skills ProgramHealth & Wellness ProgramCommunity Football CampsCCSD School Football CampsProgram Date (if known)Parent / Guardian InformationParent/Guardian NamePhone NumberEmail AddressEmergency Contact InformationEmergency Contact NameRelationship to ParticipantPhone NumberMedical InformationDoes the participant have any medical conditions, allergies, or injuries we should be aware of?YesNoIf yes, please explainIs the participant currently taking any medication?YesNoIf yes, please explainProgram Participation Waiver & Release of LiabilityI, the undersigned parent or legal guardian, acknowledge that participation in Tuck and Run Foundation programs may involve physical activity. While all activities are non-contact in nature, I understand that participation carries inherent risks, including the possibility of injury. I voluntarily assume all risks associated with my child’s participation and agree that Tuck and Run Foundation, its staff, volunteers, partners, and affiliates shall not be held liable for any injury, loss, or damages that may occur as a result of participation in any program or activity.Medical Consent & Emergency AuthorizationIn the event of an emergency, I authorize Tuck and Run Foundation and its representatives to seek medical treatment for my child if I cannot be reached. I understand that I am responsible for any medical expenses incurred.Participation AgreementI confirm that my child is physically able to participate in the program and will follow all rules, instructions, and safety guidelines provided by Tuck and Run Foundation staff. I understand that participation is voluntary and that my child may be removed from the program if behavior is unsafe or disruptive.Media ReleaseI grant permission for Tuck and Run Foundation to photograph or record my child during participation and use these materials for educational, promotional, and nonprofit purposes.Yes, I agreeNo, I do not agreeParent / Guardian SignatureParent/Guardian Name (Printed)SignatureDateElectronic Signature AgreementBy typing my full legal name above, I acknowledge and agree that this constitutes my electronic signature. I certify that I am the parent or legal guardian of the participant and that I have read, understood, and agreed to all terms outlined in this form, including the waiver, medical consent, and participation agreement.Submit