Colorado State Championships and Open Contest- October 29, 2011
Contest Waiver
Please print this page out and submit with payment.Contest Directors and Evangelical Covenant Gym are not responsible for accidents, injuries, or lost articles. Parent or guardian accepts full responsibility for twirlers participation in this event. I agree to hold NBTA, Contest directors and Evangelical Covenant Gym harmless in the event my child or any member of my family is injured while participating. Signature is required for the contestant to participate.
Signature __________________________________
Date _______________________
Name of Contestant ____________________________________________________
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Payment and waiver must be postmarked by Oct. 13, 2011 or you will be charged a $20.00 late fee. Please include late fee if mailing after Oct. 13, 2011. Any payment not received by Oct. 18, will result in contestant being dropped from contest unless prior arrangements have been made.Mail to:
Ann Durkin
1639 Ukiah Lane
Fort Collins, CO 80525