102 Bishop Ave. Coldwater, MI 49036

(517) 279.7912

Student Liability Release Form

2018-2019 Student Liability Release Form
If not applicable, leave blank.
If same as student, leave blank.
If same as student, leave blank.
If same as student, leave blank.
If same as student, leave blank.
If "no", please mark N/A
If "no", please mark N/A
Type Student's full name
Legal guardians may sign here. Please type name(s).