Register For
Grass Roots Distance Summit

Registrant #1

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Format: mm/dd/yyyy
Used for age group calculations
Valid formats include: 000-000-0000 or 0000000000

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$75.00 + $5.50 SignUp Fee


Waiver

Having read this waiver, I, for myself and anyone entitled to act on my behalf, waive and release the Grass Roots Distance Summit, its sponsors, and Avon High School from all claims or liabilities of any kind arising out of my participation with the clinic.  I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record for any legitimate promotional purposes for the organization.  I also understand and acknowledge that my registration fee is non-refundable. 




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