WAIVER AND RELEASE
I, THE UNDERSIGNED PARENT OR LEGAL GUARDIAN OF THE NAMED CHILD, HEREBY APPROVE AND CONFIRM (HIS/HER) PARTICIPATION AND RELEASE, THE TOWN OF STRATFORD; STRATFORD RECREATION COMMISSION; GLEN STEWART SCHOOL; THEIR EXECUTIVES, AGENTS, EMPLOYEES, OR ANY PERSONS, FROM ANY CLAIM OR ACTION FOR ANY INJURY OR INJURIES THAT MIGHT BE RECEIVED BY SAID CHILD DURING OR GOING TO OR FROM ANY OR ALL INSTRUCTIONAL OR GAMES.
SIGNATURE INDICATES WAIVER WAS READ:
PARENT'S SIGNATURE:
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