| Montgomery Waiver Form |
|
|
| Written by Jamie Rutherford | |
| Wednesday, 30 April 2008 | |
|
MONTGOMERY COUNTY OPEN
MAY 17, 2008
EAST MONTGOMERY HIGH SCHOOL BISCOE, NC
REGISTRATION FORM
Name_______________________________________________________________
Address_____________________________________________________________
City___________________________ State_______ Zip Code__________________
Birth Date________________ Division__________________ Weight Class_______
Home Phone_______________________ Cell Phone_________________________
Email Address________________________________________________________
School/Club/Team_____________________________________________________
Highest Wrestling Honors_______________________________________________
In consideration of your acceptance of my entry, I and my legal heirs do hereby waive and release any and all claims for damages I may have against Eagles Wrestling Club, East Montgomery High School, Montgomery County Schools, and/or tournament officials, sponsors, or administrators for any and all injuries suffered by me in connection with this said tournament and/or facility.
_____________________________________ ______________________________________ Wrestler Signature Parent/Guardian Signature |
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