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"Final Call" Feb 4, 2012. Football Showcase Application In cooperation with the Mims in Motion, Sports Scholarship USA ,PrepStar 2012 All Star Game, Plays and Grades, and FootballConsultant.net High School Registration begins at 8am 9-11 Showcase Jr. College Registration begins at 8 am 9-11 Showcase
Name___________________________________________ Street Address____________________________________ Apt#______________ City________________________________ State__________ Zip______________ Home Phone ( )______________ Cell Phone ( )_______________ Email______________________________ Facebook_______________________ School______________________________________ Grade_________________ Date of Birth ___________ Height___________ Weight___________ T-shirt Size__________ Offensive Position__________ Defensive Position__________ Parent/Guardian Name__________________________________________ Contact Number _____________________ email___________________________ Alternate Emergency Contact (Name)_________________ (phone#)_________________ CAMP SCHEDULE 8:00am…Registration Begins 9:00am…Camp Begins 12:10pm…Camp Concludes Waiver
I, as parent/legal guardian of ______________________________ , hereby release, indemnify & hold harmless eSportsInstruction.com, Sports Scholarship USA, El Camino Real Charter High School , hosting school, any and all volunteers, instructors, supervisors & staff members & their assigns , licensees, successors-in-interest, legal representatives, employees &heirs from any liability claims, causes of action, damages or cost or expense arising out of or relating to any and all injury that may result to my child while participating in the event whether or not such injury is caused by the negligence or fault of the parties being released. I agree to instruct my child to cooperate & conform with the directions and instructions of the instructors or any supervisor in charge of the event and all policies and procedures relating to all activities. Furthermore, I understand and agree that my child is expected to comply with The Alliance Code of Conduct at all times during the event. Should it be necessary for my child to have medical treatment while participating in this event, I hereby give the supervisory personnel permission to use their judgment in obtaining medical services for my child and I give permission to the physician selected by such personnel to provide medical treatment deemed necessary and appropriate by such physician(s). I warrant and represent that my child is under no medical condition and is not taking any medication, which would limit their ability to engage in any activities. I warrant and represent that I am under no disability, restriction or prohibition, either contractually or otherwise, with respect to my right to execute this waiver. I have read the release and fully understand its contents.
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