MEMORANDUM FOR:

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					MEMORANDUM FOR:           377 FSS/FSR
                          377 FSS/CL

FROM: <your organization>

SUBJECT: Request for Waiver of Insurance

   1. <your organization> requests that the requirement for insurance be
      waived. Our Fundraiser/Private Organization is a low risk event/activity.

   2. We understand that proof of insurance or a request for insurance waiver
      must be submitted for each fundraising event.

   3. We understand that should an accident occur and/or an incident arise, the
      members of name of organization are jointly and severally liable for the
      obligations of our organization.

   4. We will submit a team roster for each team playing in the tournament. We
      understand that everyone playing in the tournament must sign a roster.
      We will turn the rosters in to the Resource Management Flight no later
      than <date>

                                               __________________________
                                               President’s Signature

				
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posted:9/17/2012
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