MEDICAL INFORMATION
Are you completing this waiver for yourself/an adult (over 18 years of age) or for a minor (18 and under)? *
Would you like a printer-friendly copy of this document sent to you via an email upon completion? *
WHAT YOU WILL NEED:
 
You will need the following information readily available to complete this form.The time required to complete this form may take 10-20 minutes depending on the participant's medical history.
  • Registration Confirmation Number (Provided in your Confirmation Email)
  • Emergency Contact Info
  • Medical History
  • Allergies
  • Immunization Information
  • List of Medications
  • Insurance Information
  • Picture or Scanned Image of the front and back of your insurance card
  • Physician Provided Care Plans for those with Diabetes, Asthma, or Seizures
SAVE & RETURN:
 
For your convenience, you may use our optional 'Save & Return' feature to create a login to this form. Your progress will be saved and you may return at a later time to complete this form. To use the Save & Return feature, CLICK HERE to get started. Be sure to write down your password!
 
Otherwise, click 'Next' below to continue.