Woodland Planter's Day Bed Race - Entry Form
TEAM NAME:___________________________________________________
CAPTAIN/CONTACT NAME:_________________________________________
ADDRESS:__________________________________________________
CITY:_____________________________________________________
STATE:____________________________________________________
ZIP:_______________________________________________________
PHONE #1:_______________________________________________
PHONE #2:_______________________________________________
E-MAIL ADDRESS:___________________________________________
SECONDARY CONTACT NAME:_________________________________________
PHONE #:_______________________________________________
E-MAIL ADDRESS:___________________________________________
Return entry form via US mail to:
Planters Days Bed Race
PO Box 160
Woodland, WA 98674
Or
Return entry form via E-mail to: mikegolik@yahoo.com
Or
Return entry form via fax to:
360-225-6881
WOODLAND PLANTERS DAYS BED RACE WAIVER OF LIABILITY
THIS MUST BE SIGNED BY ALL THOSE PARTICIPATING IN THE EVENT AND RETURNED TO BED RACE OFFICIALS THE DAY OF THE RACE.
IN CONSIDERATION OF THE ACCEPTANCE OF MY APPLICATION / ENTRY FORM FOR THE WOODLAND PLANTERS DAYS BED RACE, I HEREBY RELEASE ALL ASSOCIATED GROUPS; WOODLAND TRUE VALUE, THE WOODLAND PLANTERS DAYS COMMITTEE, THE CITY OF WOODLAND WASHINGTON, AND ANY PERSON OFFICIALLY OR UNOFFICIALLY CONNECTED WITH THIS COMPETITION, FROM ALL LIABILITY FOR ANY INJURIES OR DAMAGES WHATSOEVER ARISING FROM THIS COMPETITION EVENT.
PLEASE INDICATE YOUR CAPTAIN WITH A STAR (*).
PARTICIPANT #1:________________________________________DATE:________________
PARTICIPANT #2:________________________________________DATE:________________
PARTICIPANT #3:________________________________________DATE:________________
PARTICIPANT #4:________________________________________DATE:________________
PARTICIPANT #5:________________________________________DATE:________________
THIS WAIVER MUST BE TURNED IN TO BED RACE OFFICIALS THE DAY OF THE RACE.