Athletic Tryout Form (Ncaa) Page 4

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IPFW Athletic Department 
TRYOUT WAIVER 
Office of Athletic Compliance 
 
ACKNOWLEDGEMENT & WAIVER FOR INDIVIDUAL TRYOUT 
 
 
I, ___________________________________________________, an individual, do hereby acknowledge my voluntary 
participation in this tryout, including practice, and all activities associated with practice with the 
_____________________________ team at IPFW. 
 
I hereby waive any and all claims, causes of action, rights to entitlements, suits or damages against IPFW, the Athletic 
Department, the ____________________________________ team, or any of the employees, agents or representatives, 
as a result of or occurring in conjunction with, my participation. Recognizing that conditioning, practice, and 
participation in intercollegiate athletics involves bodily contact, physical stress, and the possibility of injury, I voluntarily 
assume all risks incident to my participation. I also understand that IPFW will not pay for any medical expenses incurred 
by me during this tryout. 
 
I also waive any and all claims to any other services, uniforms, equipment, medical or training services, academic 
services, tutoring, and computers, etc. 
 
I verify that I have no physical disabilities, impairments or chemical dependencies that inhibit my participation in sport 
activities. I also verify that I have no pre‐existing conditions for which I will claim medical assistance at a future date. 
 
I, the undersigned, am at least 18 years of age, am competent to sign this release and have read carefully and 
understand all its items. 
 
 
______________________________________________________ 
___________________________________ 
Signature of Student‐Athlete 
Date 
 
 
______________________________________________________ 
___________________________________ 
Signature of Witness 
Date 

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