Saturday, September 8, 2007 -- Morgantown, WV / Hazel Ruby McQuain Waterfront Park
Deckers Creek Adventure Race and Festival
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Please make checks payable to Friends of Deckers Creek.
Mail completed registration form including the signed waiver with payment to:
FODC, 219 Wall Street, Morgantown, WV 26505
_______________________________________________________ TEAM CAPTAIN AGE _______________________________________________________ ADRESS/STATE/ZIP (_______________)______________________________________ PHONE ______________________________________________________ E-MAIL CAPTAIN'S T-SHIRT SIZE: __SM __MED __LG __XL ______________________________________________________ TEAM NAME TEAM MEMBER'S NAMES/AGES/T-SHIRT SIZE 1)_____________________________________________________ 2)_____________________________________________________ ------------------------------------------------------- CHOOSE A TEAM CATEGORY TO COMPETE IN (one only please): ___ Business (work for/or sponsored by ___ Youth/Family (at least 1 member < 16 or 2 members related) ___ MALE ___ FEMALE ____ COED ___ STUDENT (HS/college/etc.) --------------------------------------------------------
Please have all team members read and sign the liability waiver below. For complete rules and regulations visit www.DeckersCreek.org.
Release of Liability
As [ ] the participant / [ ] parent, guardian or legal representative (check box)
- I certify that the participant is physically able to participate in the event and that there are no physical/medical limitations that would prevent participation.
- I release FODC, including its Directors, employees and volunteers, as well as event sponsors and the City of Morgantown from all claims, including the institution of a lawsuit against the aforementioned groups, for injuries or losses sustained as a result of my/his/her participation in the event.
- I give permission for the use, without fee, of the participant's image in any broadcast, telecast, or print media account of this event for promotional and publicity purposes.
TEAM SIGNATURES/DATE (PARENT/GUARDIAN MUST SIGN IF UNDER 18) 1)_________________________________________________________ 2)_________________________________________________________ 3)_________________________________________________________