I, Parent/Legal Guardian herby grant my permission to
said minor to participate in the Relay for Life Kid’s Olympics. In
consideration of accepting this entry, I the undersigned, intending to be
legally bound for said minor, hereby, his/her heirs, executors and administrators,
waive and release any and all rights and claims for losses and damages said
minor may have against the Relay for Life/American Cancer Society, City of
Pipestone and all other parties and their representatives, successors and
assigns for any and all injuries suffered by said minor in the said event. I
attest and verify a licensed medical doctor has verified minor’s physical
condition. Furthermore, I hereby grant for said minor, full permission to any
record of this event for any purpose whatsoever. (No one may enter this event
without signing this official waiver).