THE LYCEUM OF MONTEREY COUNTY'S Mock trial Photo and LIABILITY RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE

Name of Student Participant *
Name of Student Participant
Name of Parent or Guardian *
Name of Parent or Guardian
Address *
Address
Contact Phone Number During Conference *
Contact Phone Number During Conference
Name of Emergency Contact Person *
Name of Emergency Contact Person
Emergency Contact Phone Number *
Emergency Contact Phone Number
This activity presents the risk of injury. This exculpatory release confirms that the participant who signs below accepts all aspects of that risk.
Section 1 *
Section 2 *
Section 3 *
Section 4 *
Section 5 *
Section 6 *
Section 7 *
Section 8 *
Section 9: Video & Photo Permission *
Parent Signature *