We further agree to support the administrative rules of the program and to cooperate with the staff to our fullest extent. Signature of Parent/Guardian Printed Name Date RELEASE TO PARTICIPATE IN PROGRAM ACTIVITIES I hereby certify that the statements on this form are true to the best of my knowledge and belief. GENERAL RELEASE I, on behalf of myself, my family, my heirs, representatives, assigns, executors or administrators, I hereby release and agree to hold UMES, its trustees, directors, officers, employees, servants, representatives, agent licensees, successors and assigns, harmless from and against any and all claims, losses, damages, expenses (including attorneys’ fees, and all court and litigation costs) and liability (including statutory liability), resulting from injury and/or death of any person or damage to or loss of any property arising out of or in any way from UMES Athletic Department activities and my participation therein. # Xxxx Xxxxx Zip Code Participant’s Cell Phone # ( if applicable): Participant’s E-mail # (if applicable): RELEASE FORMS PLEASE READ THE FOLLOWING RELEASES CAREFULLY AND PROVIDE A SIGNATURE FOR EACH SECTION BELOW. Signature of Participant Printed Name Date Name of Participant (first & last): Xxxxxx Xxxxxxx Xxx. Further, by signing below, I attest to the fact that all of the information provided by me or any other person on this form is true and complete to the best of my knowledge.
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