Sycamore

As the parent/guardian of the above player I agree to the following liability and medical release: Participant and Guardian/Parent agree that Jami Thomas, her coaches, employees and agents shall not be held liable for any claims, demand, cause of action of any kind whatsoever, for or on account of death, personal injury, property damage or loss of any kind resulting from or relating to participants' use of facilities or participation in any sport, exercise or activity within or out of the Sycamore High School premises, and participant agrees to hold Jami Thomas/New South Volleyball harmless for the same. I give my permission to have the above named child to receive any emergency treatment deemed necessary while on the Sycamore High School premises should the need arise. *

Phone *

Player's Name: *

Clinic Participating In *

High School

Elementary/Middle School

I agree to the $30 payment (cash or checks written to Sycamore Volleyball Due May 21st) *

Parent's Name *

Address *

Email *