Child's Name
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Assumption of Risk, Release and Indemnity Agreement

I confirm that my child is in good physical condition and that I understand the nature of the activity in which he/she will participate. In consideration of my acceptance into this Program, I hereby assume all responsibility for any and all personal injuries, including death and property damage, which he/she may suffer during or as a result of his/her participation in this Program. Further, for my child, my child's personal representative, heirs and next of kin, I release and agree to indemnify the YES Sports Club, Wilson Middle School, Pasadena Unified School District, the Boy's & Girl's Club, the Coaches, Assistant Coaches, Team Parents and anyone who is associated with this Program from any loss, claim, liabilities or damage arising out of my child's participation in this Program. I have read and understand and now sign this Assumption of Risk, Release and Indemnity Agreement.

Parent Signature (Type name)
Date

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