Name of female student player *

First Name

Last Name

Date of birth *

MM

DD

YYYY

Parent name *

First Name

Last Name

Parent phone *

(###)

###

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Alternate phone (optional)

(###)

###

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WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK. I recognize and acknowledge that there are certain risks of physical injury to participants and I voluntarily and knowingly agree to assume the full risk of any and all injuries, damages or losses, regardless of severity, that I may sustain of said participation. I further agree to waive and relinquish all claims I may have (or which may accrue to me) as a result of participating in these activities against the Ocean Springs School District, including its employees, Board of Trustees, and sponsors. Participants participating in the said programs/activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities/programs of this sort. I agree that I am solely responsible for determining if I am physically fit and/or skilled for the activities contemplated by this assumption and release. It is always advisable, especially if the participant is pregnant or disabled in a way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity. I, for myself and my heirs, do hereby fully release and forever discharge the Ocean Springs School District, its employees, Board of Trustees, and sponsors from any and all claims for injuries, including death or incapacity, illnesses, damages, expenses or loss that I may suffer arising out of, connected with, or in any way associated with the participation in state activity. I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. If registering online, my online signature will have the same legal effect as an original form signature. Participation will be denied, if I have not signed this waiver before the start of the event. By checking “I AGREE” I’m asserting I have read and fully understand the above important information, warning of risk and waiver of release of all claims. *

I agree.