We have read and agreed to abide by the rules set forth for the Bella Vista High School boys track and field program. We also acknowledge that there are certain inherent risks involved in participation in track and field competition as an athlete or as an official or a volunteer; We are aware that by signing this document that we freely agree to take such risk.

Date:                                                                       

Athlete’s Name:                                                                                                                                                    

Athlete’s Signature:                                                                                                                                             

Parent or Guardian’s Name:                                                                                                                                 

Home Address:                                                                                                                                                     

Home Phone Number:                                                                                                                                         

E-mail Address:                                                                                                                                                                                                    

Parent or Guardian’s Signature: