2012 HOME SCHOOL FAIR OLYMPIC RELEASE FORM

*Olympic events are provided for Home Schooled children only*

Please fill out completely, sign, and return with Home School Fair participation forms.

Parent's Name: _______________________________________________________________

Address:__________________________City/State______________Zip Code_____________

Telephone :(_____)__________________ Pager/Cell Phone:(_____)____________________

Events cost 75¢/event or $3 for all events per person - when paid in advance by the deadline.
Fair Day cost is $1.50/event or $6.00 for all events

Student name
Age
Boy/
Girl
All
Events
50yd
Dash
100yd
Dash
Broad
Jump
Run
Jump
220
Run
Fee
Amount
           
           
           
           
           
           
           
           

Total Olympic Fees ____________
(Transfer this amount to the General Registration form)

In case I/we cannot be reached during an emergency, I/we, the undersigned, give permission for our child/children to be treated by a licensed physician and for said physician to administer whatever care is necessary, including anesthesia, for their safety and care.

Further, I/we do not hold Ontario Christian High School or the Home School Fair Committee responsible financially for any injuries incurred during the Home School Fair.

Signed:_____________________________(parent/legal guardian) Date:__________________

Signed:_____________________________(parent/legal guardian) Date:__________________

*Please note any medical conditions, allergies, current medications, or any other pertinent information.

*Note: Child will not be allowed to participate in the Home School Olympics unless release form is on file.*

Thank you for visiting the Annual Home School Fair website -- We hope to see YOU at the FAIR!