Walter Johnson High School
Crew, Inc.

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Form 1:
Parent/Student Consent Form
Walter Johnson Crew

Please Print
Student Name: _______________________________________________________
(Last) (First)
Street Address: ________________________________________________________

City: ______________________________________ Zip Code: _______________

Telephone: _________________________________ Grade: ________ Sex: M F

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I give my permission for my child, ____________________________ to be a member of the Walter Johnson (WJ) Crew Team and to be transported by automobile driven by coaches, team members or parents to and from practice and regatta sites.

I understand that the WJ Crew team is a club sport sponsored by WJ Crew, Inc., and is not sponsored by Walter Johnson High School or the Board of Education of Montgomery County. I will not hold WJ Crew Inc., its members (including but not limited to parents/guardians of student members) or any WJ Crew Team student members responsible in case of accident or injury as a result of participation on the WJ Crew Team.

I release, acquit and forever discharge WJ Crew, Inc., its officers, employees, members and agents, including but not limited to all student members of the WJ Crew Team and all parents/guardians of team members, from any and all future liability resulting from any and all claims or causes of action, including but not limited to negligence or strict liability in tort, that I now or may in the future have for personal injuries, damage to property, loss of services, medical expenses, losses of damages of any and every kind whatsoever that may arise from participation on the WJ Crew Team, including but not limited to transportation by other students, parents/guardians or coaches to and from practice and regatta sites.



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Parent/Guardian Signature Date

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Student Signature Date