2015 Release And Assumption Of Risks Agreement Page 4
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4By signing below, I represent that I have carefully read and understand this
Agreement. In the event that I am executing this Agreement on behalf of a minor
child, I also represent that I have authority to execute and deliver this Agreement for
and on behalf of the minor child named below.
Executed on ______________, 2015, at ________________________________.
PARTICIPANT:
PARENT OR LEGAL GUARDIAN
If Under the Age of 18:
______________________________
______________________________
Print Name
Print Name
______________________________
_______________________________
Signature
Date
Signature
Date
STILLWATER YACHT CLUB:
______________________________
Print Name
______________________________
Signature
Date
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