Punt, Pass & Kick Competition

Sponsored by Slayton Kiwanis

Sunday, October 14

 Registration 1:00 pm – Competition 1:30 pm

MCC Football Complex

 Punt, Pass & Kick is FREE and open to Boys and Girls ages 6-15

 Tennis shoes only – no cleats please!

Contact MCC Community Education for questions at (507) 836-8360

Participant Wavier Form

Name of Participant ____________________________________________________________________________________

Address _________________________________________________________________________________________________

City __________________________________________ State _______________________________ Zip _________________

Phone Number ________________________________________ Birthdate _____________________________________

Age as of December 31, 2018 _______________________________________ Male/Female__________________

(If Participant is under 18 years of age, the parent(s) or guardian(s) must execute in addition to the above, the following wavier:)

The undersigned, ______________________________________________ referred to as the parent(s) and natural guardian(s) or legal guardian(s) of ___________________________________, does hereby represent that he/she (they) is (are), in fact, acting in such capacity and agrees to indemnify, save and hold harmless each and all of the parties herein referred to above as Releasees from all loss, liability, damage, cost or claim so act and release said Releasees on behalf of the undersigned.

Signed ____________________________________________________

Name _____________________________________________________

Relationship to Minor   _________________________________