In signing this registration form, I, ________________________, (parent/guardian) release Smithsburg High School, Washington County Public School System, and all other involved parties from any claims or responsibility for injuries suffered at the clinic. I knowingly assume all risks for the participant associated with the participation, even arising from negligence of the participants or others, and assume full responsibility for participation. I certify that the participant stated above is in good physical condition and can participate in the ReLaxing Summer League. Further, I authorize the clinic staff to act on behalf of the participant in securing medical treatment, as necessary, to insure the participant's well-being.
* Signature of Parent/Guardian: ___________________