Jump Rope Club
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Jump Roper's First Name *
Jump Roper's Last Name *
Grade *
Waiver: I acknowledge that my child's participation in this activity involves a degree of inherent risk, and not all potentially dangerous/harmful circumstances are foreseeable and/or predictable. These include the risk of loss or damage to personal property and the risk of sickness, personal injury, or death. I further understand that the school district does not purchase, or have, any medical, dental, or hospitalization insurance to cover injuries to or loss of life of pupils or to indemnify parents and guardians for expenses in connection therewith, and that such insurance, if desired, must be purchased by me. *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian E-Mail *
Parent/Guardian Phone Number *
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