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 _________________________________