2019 Junior Camp Medical Waiver

Carrie Lowry's Junior Golf Camp

Medical Release & Waiver

 
 
I, as parent/guardian, authorize any first aid or emergency medical care that may become necessary for my child/ward while he or she is participating in Carrie Lowry's Junior Golf Camp. In consideration of my acceptance of my child's/ward entry into the program, I hereby, for myself and my child/ward, our heirs, executors, administrators and personal representative, discharge, waive and release The Legends of Massillon, Carrie Lowry, its agents and employees, from responsibility for injury or death arising from participation in the Junior Golf Camp.

By executing this release I assure, on behalf of my child/ward, all risk and injury or loss to which he or she may be exposed.

 
 
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Name of Parent/Guardian (Print)

 
 
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Signature of Parent/Guardian

 
 
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E-mail Address