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Get UTSA Release and Indemnification Agreement for Participant 2010-2024

Tion Number if Enrolled at UTSA Name of Parent/Guardian if Participant is < 18 years old Address Age of Participant Emergency Contact/Phone Number Description of Activity/Trip (including all associated travel) Location of Activity/Trip Date of Activity/Trip Participation in Activities including but not limited to a Volleyball clinic and Volleyball Play in the Main Campus Recreation Center. Main Campus Recreation Center 08/20/11 By signing below, I consent to the Participant’s participation i.

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