PARENTAL  WAIVER  &  PERMISSION  SLIP       I,  (parent)  _______________________________  as  the  undersigned  parent  or  legal  guardian  of             (child)  __________________________,  do  hereby  give  permission  for  my  child  to  participate  in  the   West  Prep  Athletic  program.   Furthermore,  I  do  hereby  agree  that  I  will  not  hold  West  Prep  Academy,  its  leadership,  or  the  volunteers   serving  on  its  behalf,  liable  in  case  of  accident,  injury,  and  loss  or  damage  of  property  in  connection  with   the  activity.  This  shall  include  any  incidents,  which  may  occur  during,  on  the  way  to,  or  on  the  way  from   Athletic  competition  and  practice.   Gymnasium  at  West  Prep  Academy  (MS421)   In  addition,  if  I  cannot  be  personally  contacted,  I  give  the  bearer  of  this  document  my  permission  to   authorize  any  emergency  medical  care  that  may  appear  necessary.   __________________________________                                          _________________                         Signature  of  Parent/Legal  Guardian         ______________________________   Emergency  phone  number  

 

                 Date  

WPA PARENTAL WAIVER.pdf

serving on its behalf, liable in case of accident, injury, and loss or damage of property in connection with. the activity. This shall include any incidents, which may occur during, on the way to, or on the way from. Athletic competition and practice. Gymnasium at West Prep Academy (MS421). In addition, if I cannot be personally ...

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