Intersectional

USTA NATIONAL JUNIOR CHAMPIONSHIPS USTA & aesculapian Release divert substitute this USTA & Medical Release, polarity it, have your rise or shielder sign it, and take the sign(a) form with you to the USTA National next-to-last statute title you atomic number 18 entering. This form, signed by your parent or guardian and you, must be presented at on-the-spot(prenominal) registration in order to participate in the resultant. Please use saturnine ink and print clearly. diagnose: shape up DIVISION: (circle one) B18 B16 B14 B12 G18 G16 G14 G12 NAME OF EVENT: ADDRESS: (street) (city) (state) (zip) retrieve (home): ( ) PHONE (parent office): ( ) SECTION: USTA social station NO.: exp. interpret USTA acquit: The USTA requires a signed release covering fire tout ensemble entrants in national USTA events. The release must be signed by the entrant and parent or guardian of any(prenominal) entrant who is a minor. Acceptance of my entry in these events is without supposal or responsibility of any kind by the USTA, its sectioned associates, committee or the management of any event in which I may be entered or may participate. In consideration of the acceptance of my entry, I do hereby for and on behalf of myself, and my heirs and my legal representatives release and forever discharge the USTA, its officers, committees, and representatives and their successors and assigns, of and from any and each claims and damages, losses or injuries which may be suffered or bear on by me in connection with my activities during the period for which such license is granted and any period traveling to and from the events described, and all claims are hereby waived and released, and I covenant not to serve therefor. ____________________________________________________ _________________________________________________ contact of Entrant Signature of Parent or Guardian ____________________________________________________________ ________________ __________________________ date Street Cit! y State Zip MEDICAL RELEASE: I hereby consent to the rendering of emergency first...If you emergency to drag a full essay, order it on our website: OrderCustomPaper.com

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