Name
:____________________________________________________
DOB:_________________
(print)
Parent /Guardian
_____________________________________________
Telephone (___
)________________
(print)
Address:_______________________________________________________________________
City:____________________________________________
Zip: _______________
High
School:_________________________________
Classification:____________ Region:____________
Position:____________
Head
Coach Name:_____________________________________
Telephone (O):__________________ (Cell)________________
Wavier
In
consideration of your acceptance, I do legally waive
and release from any and all claims, rights to
damage for injuries to, or losses suffered by the
direct or indirect in training for, traveling to and
from, competing in, or attending the 2008 South
Carolina All-Star Combine at Airport, Dorman, Irmo,
or Wilson High Schools’ in the state of South
Carolina.
