HCRA Waiver If you are a club member you should Log in first. Provide Waiver Information Full LEGAL Name - AS SHOWN ON YOUR ID Gender Enter M for Male, F for Female, or X for undisclosed Street Address Date of Birth (MM/DD/YYYY) City State Zip Code Email Address Home Phone: Work Phone: Cell Phone: Emergency Contact Name Emergency Contact Phone Guardian if Younger than 18 Please check each field and make any corrections necessary before saving. Save & Email