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Football Stadium Field

HO SUCCESS FOOTBALL OFFICIATING CAMP

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Hilton Jackson

1001 East County Line Road

Jackson, Mississippi 39211

601-957-2800

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Football Officiating Camp Liability Waiver & Release of Liability

Camp Name: HO Success Football Officiating Camp
Camp Dates: May 14-16, 2026
Location: Jackson, MS

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Assumption of Risk
I understand that participation in football officiating activities includes, but is not limited
to, classroom instruction, film review, physical movement, on-field drills, running, and
live football-related activities. I acknowledge that these activities involve inherent risks,
including but not limited to slips, falls, collisions, physical exertion, weather-related
conditions, and other potential injuries.


I voluntarily choose to participate in the HO Success Football Officiating Camp and fully
assume all risks associated with participation, whether known or unknown, foreseeable
or unforeseeable.

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Release and Waiver of Liability
In consideration of being permitted to participate in the HO Success Football Officiating
Camp, I hereby release, waive, discharge, and hold harmless Hubert Owens, the HO
Success Football Officiating Camp, its directors, clinicians, staff, volunteers, sponsors,
and affiliates from any and all claims, demands, actions, or causes of action arising out
of or related to any injury, illness, damage, or loss that may occur as a result of
participation in camp activities.


This release applies to claims caused by negligence to the fullest extent permitted by law.

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Insurance Responsibility
I understand that the HO Success Football Officiating Camp does not provide medical
insurance coverage for participants. I am solely responsible for providing medical
insurance coverage for myself or my child.
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Media Release

I grant permission for the HO Success Football Officiating Camp to use photographs, video recordings, or other media taken during camp activities for promotional, educational, or marketing purposes, without compensation.

(Optional but Recommended)

Code of Conduct Acknowledgment

I understand that participants are expected to follow all camp rules and instructions.
Failure to do so may result in dismissal from camp without refund.

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Acknowledgment and Signature

I acknowledge that I have read and fully understand this waiver and release of liability.

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This form no longer accepts submissions.

EVENT DATES

MAY 14 - 16,  2026

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