OCTOBER 2021 SKATE COMP FORM
Saturday October 23rd, 2021 Skate Competition and Costume Contest.

STEP 1: Please review the Event Liability Waiver form. Click this link to view and print.
https://docs.google.com/document/d/1GR9RADghMx3fGpLgbeRylci1g8inGlAYq16ZDo90Jdo/edit?usp=sharing

STEP 2: Review, print, and bring the form with you to save time. We will also have printed versions at the competition which can be filled out prior to the competition.

STEP 3: Complete and submit this form to pre-register for the competition.

More info about the competition is available on our website.
https://squaremusic.co/october-skate-competition-in-macomb-il-2021/
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Email *
PARTICIPANT NAME *
ADDRESS *
CITY *
STATE *
ZIP *
PHONE *
FOR PARTICIPANTS UNDER 18 YEARS OF AGE
GUARDIAN NAME
This is to certify that I, as a parent or guardian with legal responsibility for the above named participant, do consent and ratify his/her  release of the County/City/Town, and its agents and employees, and, for myself, my heirs, assigned, personal representatives and  next of kin, I release and agree to indemnify the County/City/Town, and its agents and employees from any and all liabilities incident to  my minor child’s involvement or participation in the Skate Event as provided above, even if arising from the negligence of the  County/City/Town, and its agents and employees, to the fullest extent permitted by law. I have carefully read this release of liability  and understand and fully agree with its contents.
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