New England School of Archery Release Form


                             NEW ENGLAND SCHOOL OF ARCHERY, INC.

                                                                              109 SCHOOL ST.

                                                               CONCORDNH  03301  (603) 224-5768 




_____Individual Application for Archery Lessons

_____Individual Application for Archery Tournament



Date:________                                Phone/Cell:_______________________


Name of Student:_______________________________________________






                                  Parent’s Consent and Release For

                  Junior Olympic Archery Development Program Participation


                      I,______________________________________in consideration

                                      (parent or guardian)

              of the National Archery Association, Incorporated of the United States


                     to participate in its Junior Olympic Archery Development Program

does hereby consent to such participation and in the event of  injury or accident does hereby release, 

discharge and absolve the National Archery Association, New England School of Archery, Inc. and 

KIDS  ONLY organizers and its Junior Olympic Club from any and all liability or responsibility therefore.


      Signed at:________________________________________



This day of ___________ in the month of _________ in the year_________



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