ࡱ> BDA%  bjbj -]***>>>>> J >bxxxx]______$NB*xxb(8x*x]>>]]*]xV >e7>>]__________________________________________________ (Chapter Name) Porter Wagoner/JAKES Conservation Field Days Events Registration/Release Form Child's Name: ______________________________ Age: _____ Address: ________________________________________ City, State, Zip: _________________________________________ Parent or Legal Gaudian's Name: ________________________________________ Phone Number of Parent or Legal Guardian: ______________________________ Parent or Legal Guardian Attending - Circle yes or no: Yes No Release of Liability & Photo Release As parent or legal guardian of the child listed above, I certify that said child has my permission to attend and participate in all activities on (date) ____________________, at (location) ____________________, sponsored by the (chapter name) ____________________, of the National Wild Turkey Federation. By signing this form, I hereby waive and release all other participants, the host, sponsors and all other officials or parties involved in the event from all claims and/or damage incurred in connection with this event. I also hereby grant the sponsor and co-sponsors the unconditional right to use the name, voice, and photographic likeness of the above said child, in connection with any of the articles, press releases, and audio/video productions. __________________________________ Signature of parent or legal guardian __________________________________ Date INCLUDEPICTURE \d "http://www.turkey-talk.com/nys-nwtf/images/jakes.gif"  BCvw67,-! " k l jU0J5OJQJ0J6OJQJ 0JOJQJOJQJ0JCJOJQJ0JCJ$OJQJ0JCJOJQJ&BCw7-! " k l $BCw7-! 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