Participant) (Date of Birth) (Parent/ Legal Guardian - if Student under age 18) (Phone) (Address) (City) (State) (Activity – Name of Class)Waiver and Indemnification Agreement • May 16th, 2016 • Wisconsin
Contract Type FiledMay 16th, 2016 JurisdictionIn exchange for the School District of Lodi along with C.R.E.W./Indoor Community Pool allowing participation in Pool/C.R.E.W. programs the participant and, if the participant is a minor, the participant’s Parent(s) and/or Legal Guardian(s), agree as follows: