COMPLETE ONE FORM PER CHILD [COMPLETE UNA HOJA POR HIJO(A)]

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Jersey Size *

PARENT/LEGAL GUARDIAN

 

IN CASE OF EMERGENCY (EN CASO DE EMERGENCIA)



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BY SIGNING THIS CARD, MY PARTICIPANT AND I ACKNOWLEDGE THAT WE READ, UNDERSTAND AND AGREE TO THE FOLLOWING TERMS.
DOES YOUR CHILD REQUIRE ANY SPECIAL NEEDS OR MEDICATIONS? IF SO, PLEASE DESCRIBE IT BELOW *
IN THE EVENT OF AN ACCIDENT OR ILLNESS TO THE ABOVE MENTIONED CHILD, I HEREBY AUTHORIZE LVMPD, RANCHO HIGH SCHOOL, TRINITY SECURITY AND THEIR RESPECTIVE STAFF, EMPLOYEES, AGENTS OR REPRESENTATIVES (COLLECTIVELY, THE "SPONSORS") TO SECURE ANY NECESSARY EMERGENCY, SURGICAL OR MEDICAL CARE. *
I UNDERSTAND AND AGREE THAT PHOTOS MAY BE TAKEN WHILE MY CHILD IS PARTICIPATING IN AN EVENT OR ACTIVITY SPONSORED BY THE EVENT SPONSORS AND ITS AGENTS. I RELINQUISH THE RIGHT TO PROTEST AND SUCH USE OR RECEIVE COMPENSATION OF ANY TYPE. *
I, ACTING ON BEHALF OF MYSELF OR MY MINOR CHILD DO EXPRESSLY FOREVER WAIVE, RELEASE, HOLD HARMLESS AND INDEMNIFY THE SPONSORS AND THEIR RESPECTIVE OFFICERS, EMPLOYEES, AGENTS, OR REPRESENTATIVES FROM AND AGAINST ANY CLAIMS, DEMANDS, OBLIGATIONS, CAUSE OF ACTION OR LAW SUITS, OMISSIONS OF MYSELF OR MINOR CHILD, OR LIABILITY FOR PERSONAL INJURIES OR DAMAGES SUSTAINED, INCURRED OR ARISING FROM PARTICIPATION IN OR CONNECTION WITH THE EVENT. *
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