NV June 2017 Tournament Online Waiver
Please submit the following form in order to participate in the June 9th or 15th girls basketball shootouts.
Name of Parent/Guardian
Contact Information for Parent
Please give cell phone number or best number to contact parent in case of emergency
Alternate Emergency Contact
Please give the name of another trusted adult to contact in case of an emergency
Alternate Emergency Contact Information
Please give cell phone number or best number for alternate emergency contact.
Release Statement (I give permission)
To the fullest extent permitted by law, (name stated above) agrees to defend, pay in behalf of, and hold harmless the Neuqua Valley High School & Indian Prairie School District #204, its elected and appointed officials, employees and volunteers and others working in behalf of the School District #204; against any and all claims, demands, suits, loss, including all costs connected therewith, for any damages which may be asserted, claimed or recovered against or from the undersigned, which arises out of or is in any way connected or associated with the use of the Neuqua Valley High School Athletic Facilities.
By checking this box, I give permission for my daughter's participation & accept terms stated above.
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