REGISTRATION Name (Required)
(Required) EMERGENCY CONTACT Emergency Contact Person Name:
In consideration of my entry, I, my heirs, executors and administrators, release and forever discharge the organizers, its officers, staff, sponsors, servants, agents and subcontractors, instrumentalities, all voluntary community groups, and all voluntary community groups, and all organizers assisting this event, producers, their agents and representatives, of all liabilities, claims, damages or costs, which I ma have against them arising out of, or in any way connected with my participation in this event.
I understand this waiver includes claims based on negligence, action or inaction of any above parties. I fully recognize the difficulties of this event and declare that I am physically fit and able to compete in this event safely and not have been told otherwise by a medically qualified person.