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Native American Showcase Arizona

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PLAYER INFORMATION

* First Name:

* Last Name:

Street:

* City:

* State:

Zip Code:

Home Phone:

Birthdate:

Email:

* Tribe:

Gender:

* Height:

* Uniform Size:

* Current Grade:

Grade/Class (Based on 2017-18 School Year):

PARENT/GUARDIAN #1

Firstname:

Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

In exchange for permission to participate in the ITA Skills Showcase (hereafter known as a ITA) Event, I hereby enter into the following release and waiver of liability, assumption of risk and indemnity agreement. I, for myself, my heirs, spouse, executors, administrators, personal representatives and assignees, waive, release, discharge, indemnify, hold harmless and agree not to sue ITA, its officers, directors, shareholders, employees, agents, landlords, lessees, sponsors, representatives, volunteers, affiliates and franchisees (hereafter the "Released Parties") from, any and all liability, responsibility, damages, losses, claims, demands, actions, suits, judgments, costs and expenses (including attorneys’ fees) resulting from personal injury, accidents, illnesses, death and/or property loss caused in any manner, including the simple, active or passive negligence of the Released Parties, by my participation in this ITA Event. I acknowledge that this ITA Event is designed to stress my body physically in an attempt to show prospective college coaches and/or ITA that my level of fitness and skills warrant their consideration of further evaluation. I knowingly assume all risks relating to my participation in this ITA Event. I knowingly execute this agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. I have read this agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. This agreement is intended to be as broad and inclusive as permitted by law. If any portion of this agreement is held invalid, the remaining portions will continue in full force and effect.**I also acknowledge that any cancellation is non-refundable and will be used as credit towards any ITA event held within the year from date of registration**

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Native American Showcase Arizona