2015MW Parent Guardian Assent Form

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29th Calema Midwinters Windsurfing Festival
& 2015 KONA North American Championship
Merritt Island, FL USA
March 5-8, 2015
An International Windsurfing Association Sanctioned Event
Parent or Legal Guardian’s Assent
If the participant is under eighteen years of age, the following must be
completed by the participant’s parent or legal guardian.
I, being the parent or legal guardian of (print name) ______________________________________
Hereby confirm that (print competitor’s name) ___________________________________________
may compete in this Championship as specified in the Notice of Race and Sailing
Instructions and understand that under RSS Fundamental Rule 4, it is the sole responsibility of
(print competitor’s name) ______________________________________ to decide whether or not
to start or to continue to race, and I agree not to report to any court or tribunal with respect
to such a decision and its consequences.
Signature _______________________________________________ Date __________________________
Parent _______ Legal Guardian ________ (tick)
Address of parent or legal guardian:
Last Name ________________________________ First Name _____________________________
Address ___________________________________________________City __________________________
Post/Zip Code _______________________________ Country ____________________________________
Phone # _______________________________________ Email ____________________________________
The appointed person accompanying the competitor should present this form at Event
Registration.
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