Boosters - 3on3 - Registration & Waiver - 2011 Uid3212011826222
Boosters - 3on3 - Registration & Waiver - 2011 Uid3212011826222
Boosters - 3on3 - Registration & Waiver - 2011 Uid3212011826222
Team Name:__________________________________________________________
Team Captain’s Name:__________________________________________________
Captain’s Address:______________________________________________________
Captain’s Phone:_______________________________________________________
ALL PLAYERS AND A PARENT/GUARDIAN FOR EACH PLAYER MUST SIGN THIS WAIVER
I understand that by signing this document, I acknowledge and assume the risks
inherent in the 3 on 3 basketball tournament, and herby relieve Summit High School
District #161, and The Summit Hill/Hilda Walker Booster Club of any and all liability
Player’s Signature:________________________________________Date:__________
Parent/Guardian Signature:_________________________________Date:__________
Player’s Signature:________________________________________Date:__________
Parent/Guardian Signature:_________________________________Date:__________
Player’s Signature:________________________________________Date:__________
Parent/Guardian Signature:_________________________________Date:__________
Player’s Signature:________________________________________Date:__________
Parent/Guardian Signature:_________________________________Date:__________
If applicable, please provide the name of your volunteer for a minimum of 1 hour
time slot.