Informed Consent Waiver of Liability

Document Sample
Informed Consent Waiver of Liability Powered By Docstoc
					                            #




Asst.
        Asst.
                Coach
                         PLAYER
                         FIRST  LAST

                        COA
                              CHI
                        Fro       NG
                            nt a       CAR
                                 nd         D
                                      Bac -
                        Birt              k
                             hC
                                 erti
                                      fica
                                           te
                        "TE
                                                    Quakers (Team Name) - 2009 - 2010




                             AM
                        $20 FUND
                             0B
                                  Y 0 - #1"
                                      5/1       -
                        USA               8/0
                              Hoc             9
                                                    Check list for Items/Forms/Misc. to Turn In




                        Con        ke
                             firm y
                                   atio
                        SUM             n
                             MIT
                        Ath        S
                            lete PORTS
                                   Info
                                         For
                        SUM
                             MIT             m
                        Info       SPO
                             rme        RTS
                                   dC
                                       ons
                        "TE                ent
                             AM
                        $20 FUND
                             0B
                                  Y 0 - #2"
                                      6/1       -
                        USA               8/0
                              H               9
                        to T ockey
                             rea        C
                                  t/M onsen
                                       ed       t
                        USA               For
                              Hoc             m
                        His        k
                            tory ey - M
                                  For        ed
                                       m
                        USA
                              H
                        of L ockey
                             iab        W
                                 ility aiver
                        "TE
                             AM
                        $10 FUND
                             0B
                                  Y 7 - #3"
                                      /15       -
                        EDI               /09
                            Ta
                                 nd

                        ADD
                                 COL
                                       UM
                                         S
                        AS
                           N     EED
                                       ED

				
DOCUMENT INFO
Description: Informed Consent Waiver of Liability document sample