PARENT'S OR GUARDIAN'S ADDITIONAL INDEMNIFICATION (Must be completed for participants under the age of 18) Print Minor's name Minor 1 Minor 2 Minor 3 Minor 4 Minor 5 Your email In consideration of the aforementioned "Minor(s)" being permitted by AS to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless BS and WM from any and all claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor. Parent or Guardian Signature: Print Name: Date: Additional Information (optional)
