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Heavy
Athletics Events Entry Form |
Name: _____________________________________________ Address: ___________________________________________ City: ________________________ Province: ______________ Postal Code: _________________ Phone: ________________ E-Mail: _____________________________________________ Entry fee enclosed $ __________________________________
Class ______________________________________________ Cost: $25.00 |
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ENTRY DEADLINE (POSTMARKED): April 30, 2010 |
INDIVIDUAL COMPETITORS WAIVER: (Must be signed by parent or guardian if entrant is not 18 years of age). In consideration for your accepting this entry, I hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against the Regina Highland Festival Association Inc., The City of Regina, their agents, representatives, successors, and assignees, for any and all injuries suffered by me at or through the Regina Highland Games. I have read this disclaimer notice and agree to the terms described in it. Signed _____________________________________________ |
Cheques should be made out to: Mail Heavy Event entries to: Jason Johnston |