Release Of Liability And Assumption Of Risk Page 4

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(This page is only required for players under 18 years of age.)
I am the parent or legal guardian of the minor named above. I have the legal right to
consent to and, by signing below, I hereby do consent to the terms and conditions of this
Release of Liability.
Signed:
_____________________
Printed Name of Parent or Legal
Guardian:
_____________________
Address:
_____________________
_____________________
Date: _____________________
4

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