Junior Girls' Consent & Waiver Form

Consent & Waiver Form

Women’s Golf Association of Western Pennsylvania
Name of the Participant*

First NameLast Name
Name of the Parent/Guardian*

First NameLast Name
Parent/Guardian's Phone Number*
Format: (000) 000-0000.
Parent/Guardian’s Email Address*
example@example.com
Please check here if you give WGAWP permission to use photographs of your child in its publicity efforts.Please check here if we CAN use her name in association with her photograph or video.
Statement of Consent & Waiver

I hereby agree and declare that I am the legal parent or guardian of the above-named child and hereby consent to the child's participation in WGAWP events.

If the above-named child requires any emergency medical treatment or procedures during the activities, I hereby consent to supervisor(s) to make any decision and take any action to arrange for such procedures or treatments in the discretion of the supervisor(s).

I hereby release, indemnify, and hold harmless WGAWP, its directors and officers, employees, successors, assigns, legal representatives, organizers, sponsors, and supervisors of its activities from any and all claims, causes of actions and liability arising from or in any way connected with my child's participation with WGAWP.
Parent/Guardian Signature

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