2009 BIG ISLAND HIGH SCHOOL FOOTBALL COMBINE

Name:                                                                                    Graduation Year:

Address:                                                        City                          State           Zip

Home Ph:                                                                             Cell Ph:

e-mail:

Parents name                                                                                      Parent Ph:

School

Coaches Name                                                                    Coaches Ph:

Coaches email:

Primary Position:                                                  Secondary Position:

Compression Shirt size    M        L         XL          XXL            XXXL           XXXXL

Mail payment payable to "Hawaii Warriors"and registration form to 
Hawaii Warriors/PIAA Combine
c/o Bruce Kekuewa
16-714 Volcano Road
Keaau, Hawaii 96749
 
PRE-REGISTRATION IS HIGHLY SUGGESTED
1st 200 registered will receive Combine Compression Shirt

Waiver and Release of Liability

 
  I, parent or legal guardian of the above named athlete, agree to waive any claims against, or hold responsible, Pacific Islands Athletic Alliance (PIAA), Hawaii Warriors Athletic Club, Kamehameha Schools, sponsors, athletic trainers, staff, volunteers or sponsors of the above event in the event of accident or injury to my son. As parent or guardian:   

1) I confirm and agree my son is in and will be in good physical condition and physically capable of participating in this event.
2) Accidents and injuries, including cardiovascular stress and violent physical contact, may occur in these activities through no fault or negligence of any of the parties involved;
3) Participation in these activities can result in serious, severe injury and even death; The use of equipment
provided may involve risk or injury, especially if the equipment is not properly used, and acknowledge it is mine and my sons individual responsibility to learn its proper use;
4) I am solely responsible for assessing whether my sons participation in these activities is safe or suitable based on
 his individual experience, skills, and abilities; I assume full responsibility and liability for injury or harm which occurs
 to my son as the result of any lack of care, expertise or experience on my part;
5)As parent I am allowing my sons participation in these activities is with full knowledge of the risks involved;

 
WITHOUT PARENT  OR LEGAL GUARDIAN SIGNATURE, ATHLETE WILL
NOT BE ABLE TO PARTICIPATE!


Parent Name (Please Print)______________________________________Date_____________

Parent Signature_________________________________________________________________