Grand Haven SkimFest 2010

Rider's Full Name:   Birthdate: 
Rider's Age:          Parent/Guardian Name if under 18: 
Rider's Address:      Apt: 
City:                State/Province:   ZIP Code: 
Phone Number:         E-Mail Address: 

T-shirt size:      Select...Youth MYouth LAdult SAdult MAdult LAdult XL

All riders will be required to sign the following waiver before participating in this event. Riders under 18 must also have a parent or guardian sign.

PLEASE fill out, print and sign this page and bring it with you.

After you have printed this page, scroll down and click "Register" to continue to payment (required for free t-shirt).

Hold Harmless Release: This signature release bars your rights to recover damages in case of an accident injuring you or anybody else. READ BEFORE SIGNING! I agree to indemnify Way Enterprises LLC, its employees and/or officers.


Rider Signature________________________________________________     Date______________

FOR CONTESTANTS UNDER 18 YEARS OF AGE:
I HEREBY CERTIFY that I am the parent or guardian of the participant named above, and do hereby give my permission without reservation and with full understanding and comprehension of the aforegoing agreement to hold the aforementioned organizations harmless and to indemnify for any and all liabilities including any such injuries which are alleged to have occurred as a result of negligent failure of any officials, judges, and directors to properly supervise contestants in the course of competition.


Signature of Parent of Guardian_________________________________________     Date_________

>> << Click "Register" to submit your registration and proceed to secure online payment. (Pre-payment required for free t-shirt.)