The Junction

Name

Age: Minors must have all parent or guardian information completed & agree to liabilty release on this form in order to participate

Phone

Emergency Contact Phone

Team Captain Name

Liability Release: I UNDERSTAND AND AGREE TO EXEMPT AND RELIEVE THE SPONSORS OF THIS COMPETITION FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY ANY ACT OF NEGLIGENCE OF THE JUNCTION COMMUNITY CENTER AND ITS SERVANTS.

I am 18 years of age or above & understand & agree to the terms of this liability release

Name of Parent or Guardian (minors only)

Parent or Guardian Phone (minors only)

Parent/Guardian Liability & Release Agreement (minors only): IT IS MY INTENTION (parent/guardian of said minor) BY THIS AGREEMENT TO EXEMPT AND RELIEVE THE SPONSORS OF THIS COMPETITION FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH OF SAID MINOR CAUSED BY ANY ACT OF NEGLIGENCE OF THE JUNCTION COMMUNITY CENTER AND ITS SERVANTS.

I (parent or legal guardian) understand & agree to the terms of this liability form