BAR HARBOR CHAMBER OF COMMERCE 2008 BED
RACES
REGISTRATION FORM AND WAIVER OF
LIABILITY
Registration Information
Name of your Team/Bed: ________________________________________________________
Team Captain/Contact Name: _____________________________________________________
Contact Phone Number: __________________________________________________________
Email address: _________________________________________________________________
Address: ______________________________________________________________________
City:
Team Members:
1. ___________________________________________________ Age (if under 18): ______
2. ___________________________________________________ Age (if under 18): ______
3. ___________________________________________________ Age (if under 18): ______
4. ___________________________________________________ Age (if under 18): ______
5. ___________________________________________________ Age (if under 18): ______
The entry fee to participate in the bed races is $20. Make checks payable to “Bar Harbor Chamber of Commerce.” Upon receipt of your Registration Form, Waiver of Liability and Entry Fee you will receive a coupon worth 10% off the cost of supplies at either Bar Harbor Trustworthy, EBS Town Hill, or Paradis True Value.
I acknowledge that I have read the rules and guidelines and agree that my team will adhere to all the rules and guidelines.
Signature: ______________________________________ Date: ______________________
Bar Harbor Chamber of Commerce
Bed Race Waiver of Liability
THIS MUST BE SIGNED BY ALL THOSE PARTICIPATING IN THE EVENT.
In consideration of
the acceptance of our registration form for the Bar Harbor Chamber of Commerce,
we hereby release the Bar Harbor Chamber of Commerce and the Town of Bar
Harbor, as well as any person or organization officially or unofficially
connected with this competition, from all liability for any injuries or damages
whatsoever arising from this competition event.
Participant 1: ___________________________________ Date: _______________________
Participant 2: ___________________________________ Date: _______________________
Participant 3: ___________________________________ Date: _______________________
Participant 4: ___________________________________ Date: _______________________
Participant 5: ___________________________________ Date: _______________________
Parent/Guardian
Waiver – Release from Liability
If the participant is under 18 years of age, a parent or guardian must
sign below:
Name: _________________________ Relationship to Minor:
__________________________
Signature: _____________________________________ Date: ________________________
Name: _________________________ Relationship to Minor:
__________________________
Signature: _____________________________________ Date: ________________________
Name: _________________________ Relationship to Minor:
__________________________
Signature: _____________________________________ Date: ________________________
Return Registration
Form, Entry Fee and signed Waiver of Liability no later than Monday, November
17, 2008 to:
Attn: Bed Races
Or fax to 667-9080.