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Text Box:   MINOR RELEASE FORM     My child, ________________________, has my permission to become a member of PUSHETA CREEK MX PARK during the 2008 riding season.    In addition, I assign permission to ____________________________ to be responsible for the signing of all wavier and membership forms at the track and to give consent for medical treatment if needed.   I understand that I, ________________________, am required to:   ·   have medical insurance for my child while he or she visits and participates in activities at PUSHETA CREEK MX PARK. ·   will not hold PUSHETA CREEK MX PARK responsible for any loss, damage, or theft of personal property my child may sustain while onsite or participating in any activities at PUSHETA CREEK MX PARK. ·   will not hold PUSHETA CREEK MX PARK liable for any injuries or medical bills that my child may sustain while onsite or participating in any activities at PUSHETA CREEK MX PARK. ·   have read and accept the PUSHETA CREEK MX PARK membership and park rules.     _____________________________  Parent or Guardians Printed Name   _____________________________  Parent or Guardians Signature    Notary Public Signature and Seal Required