Ready Set Go Transfer Registration

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"*" indicates required fields

Student Name*

First Last

Student Phone*

Student Email*

Student High School*

Number of Guests (not including yourself)*

Student T-shirt Size*

Request Specific Roommate*

Yes

Roommate Name*

First Last

Roommate Phone*

Liability and Consent Information

I, the undersigned parent/guardian, voluntarily assume all risks, known and unknown, associated with my child’s participation in the Ready Set Go Transfer Event.

In consideration of my child being allowed to participate, I hereby release, waive, and discharge the event, its directors, staff, volunteers, and affiliated organizations from any and all liability for injuries, damages, or losses arising out of or related to my child’s participation, to the fullest extent permitted by law.

I authorize ncc staff to obtain emergency medical care for my child if I cannot be reached. I understand that I am responsible for any medical expenses incurred.

Medical Conditions/Allergies*

Yes

Medical Conditions/Allergies*

I acknowledge that my child is expected to follow event rules and instructions. Failure to do so may result in dismissal from the event.

I grant permission for the event to use photographs or video of my child for promotional or educational purposes without compensation.

Photo/Media Release*

Yes

I have read and understand this agreement and voluntarily sign it on behalf of my child.

Parent/Guardian Name*

First Last

Parent/Guardian Address*

Street Address Address Line 2 City State ZIP Code

Parent/Guardian Phone*

Parent/Guardian Email*

Parent/Guardian Signature*

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Ready Set Go Transfer Registration

Liability and Consent Information

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