Team/Participate’s Name: ________________________________

Please read & sign:

I agree to hold harmless the LHS Project Graduation Committee, vendors, volunteers, and sponsors, from all cost and liability arising out of my participation. I hereby waive all my claims for damage or loss to my person or property which may be caused directly or indirectly from my participation and hereby assume liability for any loss, damage, or other liability from the LHS Project Graduation `10 Shamrock Shuffle. I give my permission for medical release should I be involved in any accident or health damaging situation or should I inquire a form of medicine treatment. I hereby attest that I am in proper health and physical condition to participate. I hereby grant full permission to use any other record of this event for promotional purpose.

I have read the above release and agree to the terms.

* Teams may sign on one sheet

____________________ ____________________

____________________ ____________________

(Signature of guardian if participate is under 18)