Top Dawg 3 on 3 Tournament Online Waiver
Please submit the following form in order to participate in the Top Dawg 3 on 3 Tournament
Age as of May 28th 2016
12 years old or younger
15 years old or younger
18 years old or younger
Above 18 years of age
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 Batavia School District #101, its elected and appointed officials, employees and volunteers and others working in behalf of the Batavia School District #101; 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 Batavia High School Athletic Facilities.
By checking this box, I give permission for my son's or daughter's participation & accept terms stated above.
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