Payment Method - Camp Cost $50. If paying by cash or check mail payment and who payment is for to Mark Ross, 104 Redtail Dr., Ashland or drop off in the HS office *
Emergency Contact (First & Last Name) *
Your answer
Emergency Contact Phone Number (000-000-0000) *
Your answer
As the parent or legal guardian of the child named above, I hereby give my full consent and approval for my child to participate as a team member in the
sport designated above. I understand that there are certain risks of injury inherent in the practice and play of this sport, as well as in traveling and other
related activities incidental to my child’s participation, and I am willing to assume these risks on behalf of my child. I hereby certify that my child is fully
capable of participating to the designated sport and that my child is healthy and has no physical or mental disabilities or infirmities that would restrict full
participation in these activities, except as listed below. In addition to giving my full consent for my child’s participation, I do hereby waive, release, and
hold harmless the organization named above, its officers, coaches, sponsors, supervisors, and representatives for any injury that may be suffered by my
child in the normal course of participation in the designated sport and the activities incidental thereto, whether the result of negligence or any other cause.
I represent that I am a parent/legal guardian of the child named above, and I agree that the terms of this release are binding on the child and me.
Parent/Guardian Signature and Date Below:
*
Your answer
A copy of your responses will be emailed to the address you provided.