Application
Address: ___________________________________________________________
City: _____________________ Zip: __________ County: ___________________
Date of Birth: _____________________________
Telephone #: ( ) ______-_______ Alternate #: ( ) ________-_________
Name of Parent of Guardian: ___________________________________________
Address if different: __________________________________________________
City: _____________________ Zip: ___________ County: __________________
Name of you High School: _____________________________________________
City: _______________________________________________________________
Date of High School Graduation: _________________________________________
Waiver of liability
I, __________________________, parent or guardian of ______________________
do hereby release Jacksonville College and the staff of this event of any liability incurred while participating in this try-out. I also giver permission to hte staff of this try-out to seek necessary medical attention for my son or daughter should that attention be deemed necessary by staff members.
Signature of Parent or Guardian: __________________________________________
Date: ________________________________________________________________