Posted on Oct 08, 2011 10:14
Sat., Oct 8, Simon Kenton H.S...20.00 per wrestler...3-5:30pm.
Print out below, and bring with 20.00 (check or cash) to Simon Kenton Today for a clinic with one of the best! 1st graders thru 12th.
Premier Technique Wrestling Clinic Featuring J Jaggers
Name: _________________________________________ Age: _________
Address: _____________________________________________
Zip Code: ___________
City: _______________________________ State: __________________
Phone Number: _________________________________School/Grade:__________
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Emergency Contact Name & Phone
Number_________________________________________
RELEASE OF LEGAL GUARDIAN ON BEHALF OF MINOR
WRESTLING CAMP
The undersigned, on behalf of ___________________________________ a minor whose birthday is _____________________, 19_________ and for whom the undersigned is the natural or legal guardian, hereby releases Premier Technique Wrestling and the Simon Kenton Schools, its administrators, coaches, and employees, from any and all liability of whatever nature relating to or in any manner arising out of the use of such minor of the Simon Kenton Schools facilities. Furthermore, the undersign agrees to indemnify and hold harmless Premier Technique Wrestling and the Simon Kenton Schools', its administrators, employees, and coaches, from any suit or other legal proceeding, Including, but not limited to, attorneys’ fees with respect to the use of the facilities or any part of them by the minor named above. This release and indemnification shall be binding upon the personal representatives, heirs, and assigns of the undersigned and of the minor named above.
I acknowledge that I have read the foregoing paragraph, that I understand it, that I have the option to have it reviewed by legal counsel prior to signing, and that I agree to it.
__________________________________________________ ______________
Signature of Parent/Guardian Date