team 2014b webphoto6

Practice and Meet Alerts

No alerts at this time

Team Waiver

Waiver
Regency Riptides — Summer 2014 and/or
Regency Triathlon — June 22, 2014

 


 

Please print, sign and bring to registration on April 27th, 2014.



Waiver

I, my heirs, executors, administrators and assigns, hereby release the Cambridge-Wyndfall at Regency Homeowners Association, Tarheel Swimming Association, pool managers and operations, volunteers and coaches from above named participants’ injury or loss which might occur during participation and travel to and from planned events, including injury or loss arising form or contributed to by any physical impairment or defect that said participants may have, whether latent or patent, and I agree that sponsors and promoters are under no obligation to provide physical examination or other evidence of said participants’ fitness to participate in such activities, the same being my sole responsibility.

Participant Name and Age   ___________________________________    

Participant Name and Age   ___________________________________       

Participant Name and Age   ___________________________________    

Parent/Guardian Name, please print:  ___________________________________

Parent/Guardian Signature:  _______________________       Date:  _____________

 

 

OFFICE USE ONLY

Check #  __________             Date:  ___________      Amount:  __________

Web Registration Completed:   _______

4 Volunteer Positions Committed:  _______