I give my child, _______________________________________________________,
permission to attend the American Regions Math League contest at Penn State
University on May 31 and June 1, 2019. I have read the letter to parents
describing the trip.  

On behalf of myself, my heirs, executors, administrators and assigns, I 
hereby waive and release any and all rights and claims for damages I may 
have against the coaches and sponsors of the Lehigh Valley ARML team, Penn 
State University, as well as any other persons connected with the American 
Regions Math League, their heirs, executors, administrators, successors 
and assigns for any and all injuries which I or my child may suffer while 
taking part in the American Regions Math League and/or competition or as a 
result thereof.

                                 _________________________________________
                                 Name and telephone number

Please indicate below any medical information which you would like us
to know.  This may include the name and telephone number of a physician,
and name and telephone number of anyone else whom we might contact
in case of emergency.








Please return to Don Davis by May 26, one of these ways.
a. Mail to Don Davis, Math Dept, Lehigh Univ, 14 E Packer Ave, Bethlehem, 
Pa 18015.
b. Scan and e-mail to dmd1@lehigh.edu
c. Bring it to practice.