=============================================================== Registration Form Name:_____________________ Phone: ____________ Age:_____ Address:_________________________________________________ City T-Shirt Size Circle One Womens Mens S S M M L L State XL XL 2XL 2XL 3XL 3XL Zip 4XL 4XL E-mail:___________________________________________________ Emergency Contact:_______________ Phone:_______________ -----------------------------------------------------------------------------------------------------------------------Refund Policy There are no refunds for successful events. If you are unable to attend you may transfer your registration to another person. Transfers must be completed before the date of the original race. If a race is postponed you will automatically be registered for the new date. You will be emailed with the event details. If you are unable to attend the new date please contact us to transfer your registration to someone else. If you are unable to transfer, a full refund will be issued. If an event is cancelled, full refunds will automatically be issued back to the original form of payment within 5-7 business days of the announcement. By signing below you understand and agree to this refund policy. _______________________________ _______________________________ Participant Signature Date _______________________________ _______________________________ Parent/Guardian Signature (if under 18) Date =============================================================== Agreement, Waiver and Release I hereby waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which I may have, or which may hereafter accrue to me, as a result of participation in the Kickapoo Tribe of Oklahoma Education Department activities, even though that liability may arise out of negligence or carelessness on the part of the persons or entities mentioned above. It is understood that these activities involve an element of risk and danger of accidents and knowing those risks, I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I agree to indemnify and to hold the above persons or entities free of harmless from any loss, liability, damage, cost, or expense which they may incur as the result of my death or any injury or property damage that I may sustain while participating in said activities, Unless otherwise specified in writing, the undersigned give permission for photos to be taken for future use by the Kickapoo Tribe of Oklahoma without compensation. I have carefully read this agreement, waiver and release and fully understand its contents. I am aware that this is a release of liability and a contract between the above organization and myself. _______________________________ _______________________________ Participant Signature Date _______________________________ _______________________________ Parent/Guardian Signature Date (if under 18)