Permission Slip Waiver

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DODGEBALL TOURNAMENT PERMISSION SLIP & WAIVER FORM MUST be completed by ALL team members!

I___________________________, have read and understand the rules and regulations of the year Dodgeball Tournament and understand that any violations of the rules provided will result in disqualification of my entire dodge ball team. As a participant of ________________________ team, I will personally bring $5.00 to my team, with a total of $30.00 from the entire team. I will report to the main gym at 5:15 PM with all my team members to go over the rules on the day of the tournament, Tuesday, March 24.

I give my child permission to participate in the Ringgold County Wellness Coalition Dodgeball Tournament to be held at the Mt Ayr High School on Tuesday, March 24th at 6:00 PM in the main gym. I understand that they have been provided with all the rules and regulations of the dodgeball tournament, and I acknowledge that any violations of these rules will result in disqualification.

__________________________________

_______________________

(Participant's signature)

(Date)

__________________________________

_______________________

(Parent's signature, if participant is under 18)

(Date)


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