Pennsylvania Passing League

Release of Liability

State of Pennsylvania

County of ______________

                  (county in which tournament is held)  

I ___________________________________, am a parent/legal guardian of ____________________________________, who will be allowed to participate in the Pennsylvania Passing League.  I hereby release the Pennsylvania Passing League and each of its’ Directors, sponsors, and associated from any and all liability as a result of any injuries which may occur during may child’s participation.  I fully understand that as a parent/legal guardian, I am responsible for any and all medical expenses that may be incurred as a result of any injuries resulting from participation in the Pennsylvania Passing League.  I further understand that the Pennsylvania Passing League is not sanctioned by

______________________________ (name of school district hosting the tournament) and is a private association.

Print Name of Parent/Legal Guardian:__________________________________

Address:_________________________________________________________

Phone:________________________ Fax: ______________________________

E-Mail:__________________________________________________________

Signature of Parent/Legal Guardian:___________________________________

Date of Signature:_________________________________________________