Walled Lake Western

Warriors

2004 FOOTBALL SEASON

2004 WLW FOOTBALL SQUATFEST

REGISTRATION & PERMISSION FORM

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Name: ___________________________ Weight: ____________

School: __________________________ Grade: _____________

I __________________________ DO NOT hold the Walled Lake School District or anyone associated with the Walled Lake Western Squatfest liable for any injuries that may occur during the competition or traveling to and from the event  held on June 5th 2004 @ WLW.

LIFTERS SIGNATURE: ______________________________________ DATE: _________

PARENT / GUARDIAN SIGNATURE: __________________________ DATE: _________