We have read and agreed to abide by the rules set forth for the Bella Vista High School  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.

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Athlete’s Name:

                                                                                                        

Athlete’s Signature:

                                                                             

Parent or Guardian’s Name:

                                                                                

Home Address:

                                                                                  

                                                                                   

                                                                                    

Home Phone Number:

                                                                                    

Parent or Guardian’s Signature: