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Michigan High School Power Lifting Association
Non-Lifter Release Form

Coaches/Spotter

RELEASE FROM LIABILITY

 

This form is for all personnel that may at any point want to enter the designated lifting area.  All coaches, non lifting team members, volunteers, and anyone that wishes to enter the lifting area must sign this release from liability.  All lifters need only to sign the entry form.  This form does not necessarily provide free entry to any and all events

 

NAME: ________________________________________________________

 

ADDRESS: _____________________________________________________

 

CITY: _______________________________    STATE_______________   ZIP______________

 

PHONE: _____________________________________________

 

In consideration of my presence at or participation in, I intending to be legally bound, hereby, for myself, my executors, and administrators, waive and release the (SCHOOL NAME) Power lifting Club, (SCHOOL NAME) Football Team, (SCHOOL NAME) Public Schools, the Meet Director, their agents, representatives, committees, and members from any and all claims or Rights to damage from injuries or losses suffered by me directly or indirectly participating in or attending the current MHSPLA State Meet. 

 

SIGNATURE IN FULL OF

APPLICANT_________________________________________________DATE:___________________

 

In consideration of the acceptance of my presence at or participation in this Power lifting competition I intend to be legally bound, for not only myself but also for my heirs, my executors, and my administrators.  I signing this release from liability I waive and release everyone connected with competition from any and all liability including any results of negligence, which may arise from this competition.

 

SIGNATURE IN FULL OF

APPLICANT_________________________________________________DATE:_____________________.