Section 1 - Student's information
Section 2 - Information About Your Family
Section 3 - Waivers and Releases
Medical Information. To be completed by parent or legal guardian.
Please select all that apply.
Student and Parent/Legal Guardian Release and Permission Signatures
I represent that I am at least 18 years of age, have read and understand the foregoing statements,
and am competent to execute this agreement. These printed name(s) are to be considered our legal signatures.