MAIL IN Skate Savannah In-Line Festival
REGISTRATION FORM
Please make check payable to BFS and mail
to:
Bear Foot Sports, PO Box 22514, Hilton Head, SC 29925 |
First
Name:___________________________ |
Last
Name:________________________ |
| Address:__________________________ |
Apt./Suite:_____________________ |
| City:_________________ |
State:______ |
Zip:___________ |
| Date of Birth :_________ |
Male:____ Female:____ (Please check Gender) |
| Adult Shirt Size: (circle one) M L XL (XXL only add $5.00)
|
Phone: ( ____)
_______________ |
| Please check one: [ ] 10K Skate [ ] Kids Race [ ] Slalom |
| |
Check List
[ ] $15.00 Adult Entry Fee
[ ] $10.00
Kid's Entry Fee
[ ] $ 5.00 XXL Tee Shirt
$ ______ Total
Enclosed |
In
consideration of your accepting me/my child's registration, I herby for myself,
my child, my heirs, executors and administrators waive and releave any and all
rights and claims for damages I or my child may have against Bear Foot Sports,
including all representatives who are in any way connected with this
event/program. Further, in the event of any injury, I do hereby give permission
and consent to authorize such First Aid and/or Medical and/or Hospital care or
treatment as deemed appropriate. In addition, I am fully aware of the
provisions covered by the fee for this event and I understand that if any
emergency arises, any and all additional expenses incurred must be borne or
assumed by the participants. Bear Foot Sports has permission to take
photographs of my child or myself while participating in any Bear Foot Sports
events. I understand that these photographs may be used for Bear Foot Sports
advertising and public relations through and not limited to brochures, flyers,
or newspapersand Internet
.
Signature:
Participant/Parent/Guardian_______________________________________ |
Please make
check payable to BFS and mail to:
Bear Foot Sports, PO Box 22514,
Hilton Head, SC 29925 |
