01/14/2014
AE SHOWDOWN
12th Annual 3-on-3 Basketball Tournament
Saturday, March 22, 2014
Arenac Eastern Gym and Multi-Purpose Room
The Arenac Eastern Booster Club is proud to be hosting the 12th Annual 3-on-3 Basketball Tournament. Registration is limited to the first 65 teams or 15 teams per division.
CHAMPIONSHIP T-shirts to the 1st Place Finishers per division.
Registration:
8 AM for Divisions 8-13; Competition starts at 8:30 a.m.
9 AM for Divisions 14-15 and 16-18; Competition starts approximately 10 a.m.
12 PM for Both Open Divisions; Competition starts approximately 1 p.m.
Full Concession Available All Day: Please, No outside food or beverages.
Admission Fee: $1 for adults and students. Players and children 5 and under FREE.
Team Entry Fee: $60 for applications received on or before March 14, 2014. 3-4 players per team. Includes souvenir t-shirt for each player!!
Late Entry Fee: $80 for applications received March 15-18. NO SOUVENIR T-SHIRT’S. NO TEAMS WILL BE ACCEPTED AFTER MARCH 18, SORRY, NO EXCEPTIONS!! Questions?? Call Peggy Nelson at 297-1774. Please, checks only, payable to AE Boosters.
3 POINT NBA STYLE SHOOTING COMPETITION: Starts following completion of Youth
Division. (approximately at noon) $3 entry fee. Two divisions, 8-15 and 16-adult. PRIZES AWARDED TO WINNERS!! NO REFUNDS!
Tournament Rules:
Double elimination format. Each team consists of 3 or 4 players on their roster. Teams may SUBSTITUTE OR ADD a player to their roster PRIOR to their first game if approved by a Tournament official. Once the first game has been played, NO SUBSTITUTIONS OR ADDITIONAL PLAYERS will be allowed.
Teams are divided into male and female divisions by age. Co-ed teams will be placed in male divisions.
Player eligibility will be enforced. A birth certificate, driver’s license or student ID is required at check in.
Field goals and Foul Shots are worth 1 point, shots made from behind 3 point line worth 2 points.
Games are played to 15, win by 2 or first team to 20. There is a 20 minute time limit except for the championship.
If the game is not completed within 20 minutes, the team ahead is the winner.
The ball must be “taken back” with both feet behind the line each change of possession. Change of possession means a defensive rebound, made basket, “air ball” shot recovered by defense, made free throw, or stolen ball by the defense.
Jump balls go to the defense.
A coin flip at the start of the game will determine first possession.
Ball must be “passed-in” after made baskets, fouls, violations or ball out of bounds.
Players and/or teams MAY BE REMOVED from the game and or tournament at the discretion of the tournament officials for FOUL LANGUAGE, ABUSIVE BEHAVIOR, FLAGRANT FOUL OR ROUGH PLAY. Street shoes are NOT permitted.
NO dunking during practice. DUNKING allowed during games only.
Only tournament officials may call fouls-ADULTS will be officiating.
On the 7th team foul, the player fouled will be awarded a free throw.
Each team may have one timeout per game which lasts 60 seconds.
Substitutions are allowed at any “dead” ball.
Tournament officials’ rulings are final.
Tournament organizers may modify tournament and brackets when deemed appropriate.
AE SHOWDOWN 3 ON 3 APPLICATION 2014
Applications Available online at www.arenaceastern.org
Divisions: Please Circle One
Female Male/COED Open (any age)
8-9 8-9 Men’s Open
10-11 10-11 Women’s Open
12-13 12-13
14-15 14-15
16-18 16-18
Team Name:_____________________
Team Captain: ___________________________Shirt size: ___Age:___
Phone: _________________Address:__________________________
Email address:_________________________________________
Each player must return waiver signed by player (and parent if player under 18).
Player 2:________________________Shirt size: ___Age:___________
Phone: _________________Address:__________________________
Email address:______________________________________________________
Each player must return waiver signed by player (and parent if player under 18).
Player 3:____________________________Shirt size: ____Age:______
Phone:_ _________________Address:_________________________
Email address:_______________________________________________
Each player must return waiver signed by player (and parent if player under 18).
Player 4:_________________________Shirt size: ____Age:_________
Phone:_ __________________Address:_________________________
Email address:_________________________________________________
Each player must return waiver signed by player (and parent if player under 18).
4 Waiver forms are included in each packet, must be returned with application.
Mail To & Checks Payable To: AE Boosters 1066 M-65, Omer, MI 48749
Checklist:
___Team Application-Please include Team Name
___4 signed waivers
___$60.00 Received on or before March 14, 2014
___$80.00 Received March 15-18, 2014 (NO T- shirts)
Parental Consent, Release and Waiver of Liability
AE Showdown-Arenac Eastern Booster Club 3 on 3 Tournament
Held at Arenac Eastern Schools ON Saturday, March 22, 2014 (the “EVENT”)
IN CONSIDERATION of myself (“the Participant”) or of my minor child (“the Minor”) being permitted to participate
in any way in the EVENT and/or being permitted to enter for any purpose any RESTRICTED AREA(S) (defined to be
any area which requires special authorization, credentials or permission to enter or any area to which admission by the
general public is restricted or prohibited) I agree:
I know the nature of the EVENT and the Participant’s or the Minor’s experience and capabilities, and believe the participant or the
Minor to be qualified to participated in the EVENT. To the best of my knowledge, the Participant or the Minor is in good physical
condition and has no disease or injury or health-related condition that would preclude or restrict or be aggravated by participating in
the EVENT. I am fully aware of risks and hazards connected with the EVENT, and I hereby elect to voluntarily participate, or permit
Minor to participate, in the EVENT, knowing that the activity may be hazardous to me or to Minor and my/Minor’s property. I
voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including paralysis and death, that
may be sustained by me or by Minor, or any loss or damage to property owned by me or Minor, as a result of being engaged in such
an activity. I will inspect the premises, facilities, and equipment to be used, or with which I or the Minor come in contact, and if I
believe same to be unsafe, I will immediately REPORT such condition(s) to the EVENT officials and either DECLINE TO
PARTICIPATE OR ASSUME THE RISK of participating.
I hereby release, waive, discharge and covenant not to sue Arenac Eastern School District, its agencies, organizations (including
Arenac Eastern Booster Club), the board of education or its officers or members, its administrators, employees, representatives,
coaches, trainers, the promoters, or any person affiliated with the EVENT or the promoter or any business, other participants,
participating or sponsoring municipalities, governmental agencies, sponsors, or advertisers, and their respective administrators,
officers, directors, agents, representatives, employees or volunteers, all for the purposes herein referred to as “Releasees, FROM ANY
LIABILITY TO ME, THE MINOR, my and the MINORS personal representatives, assigns, heirs, next of kin, FOR ANY AND ALL
CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON ACCOUNT OF ANY INJURY TO ME OR THE MINOR (whether physical,
emotional, INCLUDING DEATH, LOSS OR DAMAGE TO PERSON OR PROPERTY, OR ANY OTHER CONSEQUENCE
CAUSED OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE, in connection with entry in or arising out of participation in, performance in or lack of performance in, including travel
en route to and from, the EVENT.
If, despite this PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, I the MINOR, or anyone on my or the
MINOR’S behalf, makes a claim against any of the Releasees named above, I AGREE TO INDEMNIFY AND SAVE AND HOLD
HARMLESS THE RELEASEES and each of them from ANY LITIGIATION AND OR MEDIATION EXPENSES, ATTORNEY
FEES, LOSS, LIABILITY, DAMAGE, OR COST THEY MAY INCUR DUE TO THE CLAIM MADE AGAINST ANY OF THE
RELEASEES NAMED ABOVE, WHETHER THE CLAIM IS BASED ON THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE.
I will ALLOW my and or the MINORS PHOTOGRAPH, PICTURE, LIKENESS, AND OR VOICE TO APPEAR in
any official documentary, promotional, (including) any and all advertisements (, television, radio, film or internet
coverage of the EVENT, WITHOUT COMPENSATION. I CONSENT TO ALL EMERGENCY MEDICAL
TREATMENT for me and for the MINOR as may be deemed appropriate under the existing circumstances by medical
personnel or the EVENT personnel.
THE UNDERSIGNED FURTHER EXPRESSLY AGREES THAT THE FORGOING PARENTAL CONSENT,
RELEASE AND WAIVER OF LIABILITY IS INTENDED TO BE AS BROAD AND INCLUSIVE AS IS
PERMITTED BY LAW AND THAT IF ANY PORTION THEREOF IS HELD INVALID OR UNENFORCEABLE,
IT IS AGREED THAT THE REAMINDER SHALL CONTINUE IN FULL FORCE AND EFFECT. THE
UNDERSIGNED HAS READ AND VOLUNTARY SIGNED THE PARENTAL CONSENT, RELEASE AND
WAIVER OF LIABILITY and further agrees that no oral representations, statements, or inducements apart from the
foregoing written terms have been made; I am at least eighteen (18) years of age and fully competent; and I execute this
PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, for full adequate and complete consideration fully intending to be bound by same.
______________________________ AGE: _______ Date:_________________
PARTICIPANT SIGNATURE
_______________________________
PARTICIPANT NAME (PRINT)
_____________________________________________ Date Signed:_____________
PARENT OR GUARDIAN SIGNATURE (if under age 18)
Parental Consent, Release and Waiver of Liability
AE Showdown-Arenac Eastern Booster Club 3 on 3 Tournament
Held at Arenac Eastern Schools ON Saturday, March 22, 2014 (the “EVENT”)
IN CONSIDERATION of myself (“the Participant”) or of my minor child (“the Minor”) being permitted to participate
in any way in the EVENT and/or being permitted to enter for any purpose any RESTRICTED AREA(S) (defined to be
any area which requires special authorization, credentials or permission to enter or any area to which admission by the
general public is restricted or prohibited) I agree:
I know the nature of the EVENT and the Participant’s or the Minor’s experience and capabilities, and believe the participant or the
Minor to be qualified to participated in the EVENT. To the best of my knowledge, the Participant or the Minor is in good physical
condition and has no disease or injury or health-related condition that would preclude or restrict or be aggravated by participating in
the EVENT. I am fully aware of risks and hazards connected with the EVENT, and I hereby elect to voluntarily participate, or permit
Minor to participate, in the EVENT, knowing that the activity may be hazardous to me or to Minor and my/Minor’s property. I
voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including paralysis and death, that
may be sustained by me or by Minor, or any loss or damage to property owned by me or Minor, as a result of being engaged in such
an activity. I will inspect the premises, facilities, and equipment to be used, or with which I or the Minor come in contact, and if I
believe same to be unsafe, I will immediately REPORT such condition(s) to the EVENT officials and either DECLINE TO
PARTICIPATE OR ASSUME THE RISK of participating.
I hereby release, waive, discharge and covenant not to sue Arenac Eastern School District, its agencies, organizations (including
Arenac Eastern Booster Club), the board of education or its officers or members, its administrators, employees, representatives,
coaches, trainers, the promoters, or any person affiliated with the EVENT or the promoter or any business, other participants,
participating or sponsoring municipalities, governmental agencies, sponsors, or advertisers, and their respective administrators,
officers, directors, agents, representatives, employees or volunteers, all for the purposes herein referred to as “Releasees, FROM ANY
LIABILITY TO ME, THE MINOR, my and the MINORS personal representatives, assigns, heirs, next of kin, FOR ANY AND ALL
CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON ACCOUNT OF ANY INJURY TO ME OR THE MINOR (whether physical,
emotional, INCLUDING DEATH, LOSS OR DAMAGE TO PERSON OR PROPERTY, OR ANY OTHER CONSEQUENCE
CAUSED OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE, in connection with entry in or arising out of participation in, performance in or lack of performance in, including travel
en route to and from, the EVENT.
If, despite this PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, I the MINOR, or anyone on my or the
MINOR’S behalf, makes a claim against any of the Releasees named above, I AGREE TO INDEMNIFY AND SAVE AND HOLD
HARMLESS THE RELEASEES and each of them from ANY LITIGIATION AND OR MEDIATION EXPENSES, ATTORNEY
FEES, LOSS, LIABILITY, DAMAGE, OR COST THEY MAY INCUR DUE TO THE CLAIM MADE AGAINST ANY OF THE
RELEASEES NAMED ABOVE, WHETHER THE CLAIM IS BASED ON THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE.
I will ALLOW my and or the MINORS PHOTOGRAPH, PICTURE, LIKENESS, AND OR VOICE TO APPEAR in
any official documentary, promotional, (including) any and all advertisements (, television, radio, film or internet
coverage of the EVENT, WITHOUT COMPENSATION. I CONSENT TO ALL EMERGENCY MEDICAL
TREATMENT for me and for the MINOR as may be deemed appropriate under the existing circumstances by medical
personnel or the EVENT personnel.
THE UNDERSIGNED FURTHER EXPRESSLY AGREES THAT THE FORGOING PARENTAL CONSENT,
RELEASE AND WAIVER OF LIABILITY IS INTENDED TO BE AS BROAD AND INCLUSIVE AS IS
PERMITTED BY LAW AND THAT IF ANY PORTION THEREOF IS HELD INVALID OR UNENFORCEABLE,
IT IS AGREED THAT THE REAMINDER SHALL CONTINUE IN FULL FORCE AND EFFECT. THE
UNDERSIGNED HAS READ AND VOLUNTARY SIGNED THE PARENTAL CONSENT, RELEASE AND
WAIVER OF LIABILITY and further agrees that no oral representations, statements, or inducements apart from the
foregoing written terms have been made; I am at least eighteen (18) years of age and fully competent; and I execute this
PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, for full adequate and complete consideration fully intending to be bound by same.
______________________________ AGE: _______ Date:_________________
PARTICIPANT SIGNATURE
_______________________________
PARTICIPANT NAME (PRINT)
_____________________________________________ Date Signed:_____________
PARENT OR GUARDIAN SIGNATURE (if under age 18)
Parental Consent, Release and Waiver of Liability
AE Showdown-Arenac Eastern Booster Club 3 on 3 Tournament
Held at Arenac Eastern Schools ON Saturday, March 22, 2014 (the “EVENT”)
IN CONSIDERATION of myself (“the Participant”) or of my minor child (“the Minor”) being permitted to participate
in any way in the EVENT and/or being permitted to enter for any purpose any RESTRICTED AREA(S) (defined to be
any area which requires special authorization, credentials or permission to enter or any area to which admission by the
general public is restricted or prohibited) I agree:
I know the nature of the EVENT and the Participant’s or the Minor’s experience and capabilities, and believe the participant or the
Minor to be qualified to participated in the EVENT. To the best of my knowledge, the Participant or the Minor is in good physical
condition and has no disease or injury or health-related condition that would preclude or restrict or be aggravated by participating in
the EVENT. I am fully aware of risks and hazards connected with the EVENT, and I hereby elect to voluntarily participate, or permit
Minor to participate, in the EVENT, knowing that the activity may be hazardous to me or to Minor and my/Minor’s property. I
voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including paralysis and death, that
may be sustained by me or by Minor, or any loss or damage to property owned by me or Minor, as a result of being engaged in such
an activity. I will inspect the premises, facilities, and equipment to be used, or with which I or the Minor come in contact, and if I
believe same to be unsafe, I will immediately REPORT such condition(s) to the EVENT officials and either DECLINE TO
PARTICIPATE OR ASSUME THE RISK of participating.
I hereby release, waive, discharge and covenant not to sue Arenac Eastern School District, its agencies, organizations (including
Arenac Eastern Booster Club), the board of education or its officers or members, its administrators, employees, representatives,
coaches, trainers, the promoters, or any person affiliated with the EVENT or the promoter or any business, other participants,
participating or sponsoring municipalities, governmental agencies, sponsors, or advertisers, and their respective administrators,
officers, directors, agents, representatives, employees or volunteers, all for the purposes herein referred to as “Releasees, FROM ANY
LIABILITY TO ME, THE MINOR, my and the MINORS personal representatives, assigns, heirs, next of kin, FOR ANY AND ALL
CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON ACCOUNT OF ANY INJURY TO ME OR THE MINOR (whether physical,
emotional, INCLUDING DEATH, LOSS OR DAMAGE TO PERSON OR PROPERTY, OR ANY OTHER CONSEQUENCE
CAUSED OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE, in connection with entry in or arising out of participation in, performance in or lack of performance in, including travel
en route to and from, the EVENT.
If, despite this PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, I the MINOR, or anyone on my or the
MINOR’S behalf, makes a claim against any of the Releasees named above, I AGREE TO INDEMNIFY AND SAVE AND HOLD
HARMLESS THE RELEASEES and each of them from ANY LITIGIATION AND OR MEDIATION EXPENSES, ATTORNEY
FEES, LOSS, LIABILITY, DAMAGE, OR COST THEY MAY INCUR DUE TO THE CLAIM MADE AGAINST ANY OF THE
RELEASEES NAMED ABOVE, WHETHER THE CLAIM IS BASED ON THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE.
I will ALLOW my and or the MINORS PHOTOGRAPH, PICTURE, LIKENESS, AND OR VOICE TO APPEAR in
any official documentary, promotional, (including) any and all advertisements (, television, radio, film or internet
coverage of the EVENT, WITHOUT COMPENSATION. I CONSENT TO ALL EMERGENCY MEDICAL
TREATMENT for me and for the MINOR as may be deemed appropriate under the existing circumstances by medical
personnel or the EVENT personnel.
THE UNDERSIGNED FURTHER EXPRESSLY AGREES THAT THE FORGOING PARENTAL CONSENT,
RELEASE AND WAIVER OF LIABILITY IS INTENDED TO BE AS BROAD AND INCLUSIVE AS IS
PERMITTED BY LAW AND THAT IF ANY PORTION THEREOF IS HELD INVALID OR UNENFORCEABLE,
IT IS AGREED THAT THE REAMINDER SHALL CONTINUE IN FULL FORCE AND EFFECT. THE
UNDERSIGNED HAS READ AND VOLUNTARY SIGNED THE PARENTAL CONSENT, RELEASE AND
WAIVER OF LIABILITY and further agrees that no oral representations, statements, or inducements apart from the
foregoing written terms have been made; I am at least eighteen (18) years of age and fully competent; and I execute this
PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, for full adequate and complete consideration fully intending to be bound by same.
______________________________ AGE: _______ Date:_________________
PARTICIPANT SIGNATURE
_______________________________
PARTICIPANT NAME (PRINT)
_____________________________________________ Date Signed:_____________
PARENT OR GUARDIAN SIGNATURE (if under age 18)
Parental Consent, Release and Waiver of Liability
AE Showdown-Arenac Eastern Booster Club 3 on 3 Tournament
Held at Arenac Eastern Schools ON Saturday, March 22, 2014 (the “EVENT”)
IN CONSIDERATION of myself (“the Participant”) or of my minor child (“the Minor”) being permitted to participate
in any way in the EVENT and/or being permitted to enter for any purpose any RESTRICTED AREA(S) (defined to be
any area which requires special authorization, credentials or permission to enter or any area to which admission by the
general public is restricted or prohibited) I agree:
I know the nature of the EVENT and the Participant’s or the Minor’s experience and capabilities, and believe the participant or the
Minor to be qualified to participated in the EVENT. To the best of my knowledge, the Participant or the Minor is in good physical
condition and has no disease or injury or health-related condition that would preclude or restrict or be aggravated by participating in
the EVENT. I am fully aware of risks and hazards connected with the EVENT, and I hereby elect to voluntarily participate, or permit
Minor to participate, in the EVENT, knowing that the activity may be hazardous to me or to Minor and my/Minor’s property. I
voluntarily assume full responsibility for any risks of loss, property damage, or personal injury, including paralysis and death, that
may be sustained by me or by Minor, or any loss or damage to property owned by me or Minor, as a result of being engaged in such
an activity. I will inspect the premises, facilities, and equipment to be used, or with which I or the Minor come in contact, and if I
believe same to be unsafe, I will immediately REPORT such condition(s) to the EVENT officials and either DECLINE TO
PARTICIPATE OR ASSUME THE RISK of participating.
I hereby release, waive, discharge and covenant not to sue Arenac Eastern School District, its agencies, organizations (including
Arenac Eastern Booster Club), the board of education or its officers or members, its administrators, employees, representatives,
coaches, trainers, the promoters, or any person affiliated with the EVENT or the promoter or any business, other participants,
participating or sponsoring municipalities, governmental agencies, sponsors, or advertisers, and their respective administrators,
officers, directors, agents, representatives, employees or volunteers, all for the purposes herein referred to as “Releasees, FROM ANY
LIABILITY TO ME, THE MINOR, my and the MINORS personal representatives, assigns, heirs, next of kin, FOR ANY AND ALL
CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON ACCOUNT OF ANY INJURY TO ME OR THE MINOR (whether physical,
emotional, INCLUDING DEATH, LOSS OR DAMAGE TO PERSON OR PROPERTY, OR ANY OTHER CONSEQUENCE
CAUSED OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE, in connection with entry in or arising out of participation in, performance in or lack of performance in, including travel
en route to and from, the EVENT.
If, despite this PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, I the MINOR, or anyone on my or the
MINOR’S behalf, makes a claim against any of the Releasees named above, I AGREE TO INDEMNIFY AND SAVE AND HOLD
HARMLESS THE RELEASEES and each of them from ANY LITIGIATION AND OR MEDIATION EXPENSES, ATTORNEY
FEES, LOSS, LIABILITY, DAMAGE, OR COST THEY MAY INCUR DUE TO THE CLAIM MADE AGAINST ANY OF THE
RELEASEES NAMED ABOVE, WHETHER THE CLAIM IS BASED ON THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE.
I will ALLOW my and or the MINORS PHOTOGRAPH, PICTURE, LIKENESS, AND OR VOICE TO APPEAR in
any official documentary, promotional, (including) any and all advertisements (, television, radio, film or internet
coverage of the EVENT, WITHOUT COMPENSATION. I CONSENT TO ALL EMERGENCY MEDICAL
TREATMENT for me and for the MINOR as may be deemed appropriate under the existing circumstances by medical
personnel or the EVENT personnel.
THE UNDERSIGNED FURTHER EXPRESSLY AGREES THAT THE FORGOING PARENTAL CONSENT,
RELEASE AND WAIVER OF LIABILITY IS INTENDED TO BE AS BROAD AND INCLUSIVE AS IS
PERMITTED BY LAW AND THAT IF ANY PORTION THEREOF IS HELD INVALID OR UNENFORCEABLE,
IT IS AGREED THAT THE REAMINDER SHALL CONTINUE IN FULL FORCE AND EFFECT. THE
UNDERSIGNED HAS READ AND VOLUNTARY SIGNED THE PARENTAL CONSENT, RELEASE AND
WAIVER OF LIABILITY and further agrees that no oral representations, statements, or inducements apart from the
foregoing written terms have been made; I am at least eighteen (18) years of age and fully competent; and I execute this
PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, for full adequate and complete consideration fully intending to be bound by same.
AGE: _______ Date:_________________
PARTICIPANT SIGNATURE
_______________________________
PARTICIPANT NAME (PRINT)
_____________________________________________ Date Signed:_____________
PARENT OR GUARDIAN SIGNATURE (if under age 18)
It is the mission of the Arenac Eastern School District to assist students in their quest to demonstrate proficiency in life skills by providing a balanced curriculum that includes instruction in academic, social, emotional, physical and thinking skills.