Media Release Form Verification

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Media Release Form Verification
(Please bring this form with you to the Math Bowl.)
School Name:
Grade Level:
Team Sponsor:
Please print the first and last names of your Math Bowl team
members. Place a check next to the names of the members who
have a current, signed media release form on file at your school site. (If
you are unsure, please print the release form off of this website and
have it signed)
1.___________________________________________
2.___________________________________________
3.___________________________________________
4.___________________________________________
5.___________________________________________
By signing, I agree that, to the best of my knowledge, the above
information is accurate.
Team Sponsor’s Signature:_____________________________
Please bring this form with you to the Math Bowl

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