Youth Waiver & Release and Assumption of Risk

Participant Name *
Participant Name
Address *
Address
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone Number *
Parent/Guardian Phone Number
Date *
Date
Agreement *
I am the parent/guardian of the participant and I agree to the terms of the above Youth Waiver & Release and Assumption of Risk
Photo/Video Release *
I hereby give permission for images of my child, captured during regular and special activities through video, camera and digital camera to be used solely for the purposes of H3 promotional material, publications and website, and waive any rights to compensation or ownership.