Form
What is your son full name?
What is your son date birth of birth?
What school do your son attend?
What is your parent first and last name?
What is your parent phone number?
What is your parent email address?
What is you all mailing address?
What is your son height?
What is your son weight?
By my printed signature below, I acknowledge that I am aware of, appreciate the character of, & voluntarily assume the risks involved in participating in all activities associated with STL Rascals basketball program.
1. Waive any claim or cause of action against and release from liability the STL Rascals, STL Rascals its officers, employees, and agents for any liability for injuries to my person or property resulting from my use of the facility or participation in the activity listed above; 2. Agree to not hold harmless the STL Rascals, its officers, employees, and agents for any claims, causes of action, or liability to any other person arising from my use of the facility or participation in the activity listed above; 3. Consent to receive any medical treatment deemed advisable in the event of injury, accident or illness during these activities; and 4. Acknowledge that a participant under 18 years of age signing below as a minor child, a printed signature is required by the parent or legal guardian of the minor child to participate.
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