Player Profile
Authorization Form


WAIVER (MUST BE SIGNED)

I AUTHORIZE AND GIVE MY PERMISSION TO WEST VIRGINIA SPORTS ON THE NET
TO USE THE ABOVE INFORMATION AND MY (CHILD'S) PICTURE ON ITS INTERNET PAGE.

PLAYER NAME: _____________________________________
SPORT: _____________________________________
DATE: _____ /_____ /_____
SIGNED: _____________________________________
(BY PARENT OR GUARDIAN IF UNDER 18)


Send non-returnable photo and a
check or money order for $25 to:


WVSPN
P.O. Box 58394
Charleston, WV 25358