Waiver Of Liability Form printable pdf download

Waiver Of Liability Form

2015 Pioneer Day Bed Races

Registration Form

Name of your Team/Bed ______________________________________________

Team Captain / Contact Name __________________________________________

Phone Number ______________________________________________________

Email Address _______________________________________________________

Address ____________________________________________________________

City ________________State __________________Zip Code _________________

May 16, 2015, Bed Show 12:00, Beds will be on display in Civic Park

along Douty Street. First race will begin at 1:00

Team Members

1. _____________________________________________________________

2. _____________________________________________________________

3. _____________________________________________________________

4. _____________________________________________________________

5. _____________________________________________________________

Entry Fee is $50.00 per team. Checks can be made out to the Hanford Chamber of

Commerce. Registration Form must be turned in on or before May 1, 2015.

Waiver of Liability Form must also be turned in by May 1, 2015.

I Acknowledge that I have read the rules and agree that my team will adhere to

ALL rules.

Signature _____________________________________________

Hanford Chamber of Commerce

113 Court Street, Suite 104

Hanford, Calif. 93230

Hanfordchamber@comcast.net

(559) 582-0483

Waiver Of Liability Form