| I, the undersigned, waive and release myself, my heirs, executors, and administrators, and assume the risk of physical injury or death from participating in this event. By participating, I waive all rights and claims for damages, demands any other actions whatsoever, which I may have against the Great Ames Adventure Race, all participating sponsors, and supporters of those entities, successors, representatives, and assigns, arising out of my participation in this event. I certify that I am in proper physical condition to participate in this activity. |
|
Printed Name |
Signature |
Date |
| Particpant 1: _____________________________________________________________________________________ |
Particpant 2:
_____________________________________________________________________________________ |
Particpant 3:
_____________________________________________________________________________________ |
Particpant 4:
_____________________________________________________________________________________ |
|
| Parent or guardian Signature, if under 18:   ______________________________________________________________ |
Parent or guardian Signature, if under 18: ______________________________________________________________ |
Parent or guardian Signature, if under 18: ______________________________________________________________ |
Parent or guardian Signature, if under 18: ______________________________________________________________ |