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REGISTRATION FORM

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Positions
Shirt Size

PLAY LIKE A GIRL WAIVER

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I hereby give my consent for the above named student to participate in the Play Like A Girl tryouts and for the authorities to secure emergency medical services in case of injury.  SerVcom is liable for any injuries or loss of equipment. I also grant permission to managing personnel or representatives to authorize and obtain medical care for the player in case of an emergency, as well as release permission for reproduction and production use of photography of my child for all publications such as websites, newspapers and social media. As the parent/guardian, I assume all medical expenses and not SerVcom.

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I grant Servcom, Inc, its representatives and employees the right to take photographs of my child in connection with the Play Like A Girl event and authorize use in print or electronically.

Thanks for registering to our event. See you there!

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