IM Rules Acknowledgement Form I have read the rules and expectations of the IM Program and the IM Activities I have

signed up for. By signing below, I am stating that I understand and agree to abide by the rules and expectations of the IM Activities that I have signed up for. *By signing below, I give my consent to use pictures/videos related to IM Activities in IM Program capacities that include the IM Wall of Fame and IM Program Website.

__________________________________________________________________ Printed Name Signature

__________________________________________________________________ Team Name (if applicable) Date

*Please print and sign document and turn in to Coach Genungs mailbox (main office) or give to him personally. *Team applications will be denied if this form has not been submitted by the end of the Captains Meeting.