I am aware of the nature of this sport and I hereby assume responsibility for blanks* (Participant Name) to participate and to be photographed for publicity purposes. I will not hold the ROSENBERG PANTHERS ORGANIZATION and/or its coaches responsible in the case of accident or injury as a result of this participation. I understand that this completed form must be in the possession of the ROSENBERG PANTHERS ORGANIZATION prior to participation in this program.
Registration Fees-
Early Registration(before Jan.1):
$250
Fall Registration(due June 1):
$300
Late Registration(after June 1):
$325
Multi Participant Discount:
2+ $10 off each participant
3+ $20 off each participant