OFFICIAL REGISTRATION FORM IMPORTANT: Please make all checks payable to America’s Cardboard Cup Regatta, PO Box 1600, Crystal Lake, IL 60039-1600. Name: _______________________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: _________________________________________________________________ Phone: ______________________________________________________________________ Sponsor: _____________________________________________________________________ PLEASE REGISTER MY BOAT AS (Check one): ___ INDIVIDUAL $20.00 (Includes T-shirt and 1 Free Ticket) ___ HEAT SPONSORSHIP $125.00 (Includes company name mention on race day, 1 Regatta shirt and 5 free tickets) ___ COMMERCIAL $200.00 (Includes boat entry with company logo, 1 Regatta shirt and 5 free tickets) Shirt Size (Important) check one: ___ Small ___ Medium ___ Large ___ X-Large ___ XX-Large Boat Class ___ Class A (Oar Boat) ___ Class K (Kids 5-10) ___Class B (Other People Power) ___50 Plus ___ Class C (Sail) RETURN APPLICATION TO: America’s Cardboard Cup Regatta PO Box 1600 Crystal Lake, IL 60039-1600 Additional applications available at C.L. Park District and at www.cardboardcup.com. Cardboard available at Main Beach after May 1, 2015, 9:00am-3:45pm Monday-Friday. Please have all crew members sign the hold harmless form on the back of this page prior to registering your boat. Minors must have hold harmless signed by their legal guardian. Additional Waiver and Release forms can be found at www.cardboardcup.com. America’s Cardboard Cup Regatta Waiver and Release of All Claims Please read this form carefully and be aware that by signing up and participating in the America’s Cardboard Cup Regatta, that you will be waiving and releasing all claims for injuries you might sustain out of this event. PLEASE SIGN AND INCLUDE DATES “As a participant in this event, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, including death, damages of loss which I may sustain as a result of participating in any and all activities connected with or associated with this event.” “I agree to waive and relinquish all claims I may have as a result of participating in the program against the Crystal Lake Park District, the Crystal Lake Chamber of Commerce, America’s Cardboard Cup Regatta Foundation, Inc. and their directors, officers, agents, servants and employees.” “I do hereby fully release and discharge the Crystal Lake Park District, the Crystal Lake Chamber of Commerce, America’s Cardboard Cup Regatta Foundation, Inc. and their directors, officers, agents, servants and employees from any and all claims of injuries, including death, damage or loss which may have or which may accrue to me on account of my participation in the program.” “I further agree to indemnify and hold harmless and defend the Crystal Lake Park District, the Crystal Lake Chamber of Commerce, America’s Cardboard Cup Regatta Foundation, Inc. and their directors, officers, agents, servants and employees from any and all claims resulting from injuries, including death, damages and losses sustained by me and arising out of, connected with, or in any way associated with the activities of the program.” “Finally, America’s Cardboard Cup Regatta has permission to use my name, comments, photographs, videos and likeness for any and all archival and promotional purposes directly related to the event and will not be used for resale. I understand that the circulation of materials could be worldwide and that there will be no compensation to me for this use.” I have read and fully understand the above program details and Waiver and Release of All Claims, and understand that my signature is required below to participate in this event. ____________________________________________________________________________ Signature of Parent, guardian or adult participant ____________________________________________________________________________ Date ____________________________________________________________________________ Participant Name ____________________________________________________________________________ Boat # ____________________________________________________________________________ Boat Name
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