Broncos Winter Session Aquatics
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Winter Session Type *
Athlete's Name *
Athlete's Grade *
Athlete's Phone Number
Leave blank if no Athlete Phone Number (not parents)
Athlete's Email
Leave blank if no Athlete Email (not parents)
Parent's Name *
Contact Phone Number *
Contact Email 1 *
Contact Email 2 *
Name of Guardian Authorizing Form *
*My son/daughter has permission to participate in the Winter Water Polo Camp. Should it be necessary for my child to have medical treatment while participating at the camp, and if the camp is unable to contact me, I hereby authorize Clovis Unified School District personnel to use their judgment in obtaining medical services for my son. I also understand that there is an injury risk with participation in sports and release Clovis Unified School District of any liability. Also, in accordance with CIF bylaw 207, any athlete who transfers from School “A” to School “B” after having prior contact, during the previous 24 months, either directly or indirectly with school “B” prior to enrollment shall not be eligible at School “B” for 365 days from initial date of enrollment. This includes this camp, clinic, AAU, club team, and/or workouts.
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