CQBA's Waiver & Release CQBA's Waiver & Release Please fill out the following form in order to participate in CGQBA Training. Athlete's Name * Athlete's Name First First Last Last Email * Athlete's Date of Birth * Have you been hospitalized in the last 12 months? * Yes No Are you suffering from a medical condition, illness, or injury? * Yes No If you answered yes to any question, please elaborate Emergency Contact Name * Emergency Contact Phone I declare that the info I've provided is accurate & complete and the athlete & parents/guardians have read CGBA's Waiver Release Policy and understand the policy. * Yes Submit If you are human, leave this field blank.
