High School Team Building Event

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Please fill out and sign the following form:

High School You Attend*
I,*
am a parent/legal guardian of*
who will be a allowed to participate in the passing Tournament/Lineman Competition at Bethel University, (June 15, 2019). I hereby agree to hold harmless & idemnify Bethel University and each of its Directors/Coaches/Volunteers from any and all liability as a result of any injuries which may occur during my child's participation. I full understand that as a parent/legal guardian, I am responsible for any an all medical expenses which may be incurred as a result of accidental injuries.
Athlete's Name*
(participant) is in good health and able to participate in the program's activities.
Special physical limitations and/or required medications*
- I am
- I am NOT
attaching a note explaining special physical limitations and/or required medications, if any.
Explain Special Physical Limitations and/or required medications.*
Option to upload a note
Max. file size: 64 MB.
Date*
MM slash DD slash YYYY
Parent/Legal Guardian Signature*
Sign in the box with either your computer mouse on a computer or your finger on a mobile or tablet device.
For more information contact A.J. Parnell
aj-parnell@bethel.edu
425-301-4371
betheroyalsfb.com
Email
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