STEP 2A: Individual Only Entry Form
MAIN CONTACT INFORMATION
School (if current student)
Grade / Age Level
Pre K/ Pre School
Shirt size (MS students and younger)
The undersigned parent or guardian assumes all risks in connection with the student’s participation in any and all of the PTA sponsored activities. I, the registered participant, intending to be legally bound, do hereby for myself and heirs, executors, administrators and assigns, forever waive release and discharge the Maryland State PTA, all PTA officers, employees, agents and volunteers from all liability, claims or demands for any damage, loss or injury to the student, the student’s property, or parent’s property or to myself in connection with participation in these activities. I do hereby certify that to the best of my (our) knowledge and belief said minor(s) is in good mental and physical health. In case of illness or accident, permission is granted for emergency treatment to be administered. It is further understood and agreed that the undersigned will assume full responsibility for any such action, including payment of costs. I attest and verify that I am mentally & physically fit and able to participate in this event and acknowledge that I am aware of the inherent risks in participating in any athletic event.
I Do Not Agree
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service