Grants Recreation Waiver Of Liability

In consideration of your accepting this entry, I, the undersigned, intending to be legally bound hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the City of Grants, the Grants Recreation Department, or any individuals, businesses and groups associated with this particular activity for any injuries suffered by me in said event. I will additionally permit the free use of my name and pictures in broadcasts, telecasts, newspapers, etc. and i further acknowledge that i am aware of the risks involved and i have sufficiently trained to participate in and event of this type. Parent must sign if athlete is under 16. This is to certify that my child has my permission to compete in this event, is in good physical condition and that event officials may authorize necessary emergency treatment.

CIRCLE AGE DIVISION

7&under    8-11    12-15    16-19    20-24    25-29    30-34    35-39    40-44    45-49    50-54    55-59

60-64    65-69    70-74    75-79    80-84    85-89    90-94    95-100

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Signature of Participant                                       Please Print

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Signature of Parent/Guardian                              Address

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Date                                                                   City                State                  Zip