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MAGV Skills Academy

Registration Form

Participant Information








Parent/Guardian Information



Medical and Insurance Information





Emergency Information



Acknowledgement, Liability Waiver


Parent and/or Guardian Signature


I confirm that the information given in this form is true, complete and accurate. I have read, understand and agree to all statements on this form.

Venue

North Pontotoc High School Football Practice Field
8324 Hwy 15
Ecru, MS

Date

June 19th, 2021

Time

8:00am – 12:30pm

Download Waiver (PDF)

Waiver