Champions Choice Camp (Lamb, Pig & Steer)

Each participant is required to complete a medical/liability release form that must be notarized. Please mail the release form with your deposit. This is an absolute necessity and must be completed before anyone can participate...NO RELEASE FORM, NO CLINIC!

I WILL BE ATTENDING THE	, 2005 CLINIC IN
(CITY & STATE)

WE, THE PARENTS OF________________________________________________, (IF A MINOR) OR I
_________________________________________________ GIVE OUR/MY PERMISSION TO TRACEY DENDINGER OF CHAMPION CHOICE CAMPS TO ENTER THIS INDIVIDUAL AT ANY HOSPITAL FOR AN EMERGENCY TREATMENT NECESSARY.

WE/I ALSO RELEASE TRACEY DENDINGER OF CHAMPION CHOICE CAMPS FROM ANY AND ALL LIABILITY WHICH MIGHT OCCUR FROM ANY ILLNESS, INJURY OR ACCIDENT.

PARENT/GUARDIAN OR INDIVIDUAL SIGNATURE

SUBSCRIBED AND SWORE TO THIS	, 2005
MY COMMISSION EXPIRES

NOTARY PUBLIC

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