Waiver Form

  • About you

  • E-mail address of the person filling out the form, usually parent or guardian. A copy of this waiver will be emailed to you.
  • About the Participant

  • Please enter the First and Last name of the Participant. One form is required for each participant.
  • Please enter the date of birth of the participant.
  • Please select the relative Kong Academy Program. A list of current Programs per season and per School is provided.
  • Emergency Contact Information

  • Please enter the Full Name of a good Emergency Contact for this participant.
  • Please enter a good phone number for the Emergency Contact for this participant.
  • The fine-print

    By filling out this form, you are consenting to using this form as an electronic signature in lieu of an original signature on paper.
    As a participant to our programs, you will receive program-related communications. Would you also like to join our mailing list to receive monthly news - upcoming events and classes?

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