Auburn Adventure Race Registration Form  

 

Make checks payable to and mail to J & J Sports Productions P.O. Box 3215, Auburn, CA 95604

 

 

Team name_________________________________________________________

 

Participant #1 name__________________________________Gender____________DOB______

 

Address____________________________________City___________________

 

State______Zip________

 

Email ______________________________________________shirt size  ________________

 

Participant #2 name___________________________________Gender___________DOB______

 

Email ______________________________________________shirt size  ________________

 

Address____________________________________City___________________

 

State______Zip_________

 

The following release waiver must be signed by all participants

AGREEMENT, WAIVER & RELEASE

I, intending to be legally bound, for myself, my heirs, executors, administrators, waive and release any and all rights and claims I may have against J & J Sports Productions, its agents, promoters and sponsors, and all persons, officials and organizations affiliated with the event for any and all injuries suffered by me while traveling to and from and while competing in this J & J. I further attest that I am physically fit and sufficiently trained for this event. I, also give my permission for the free use of my name and/or photographs in any broadcast, telecast, newsprint or any other account of this event. I acknowledge I have read and fully understand my own liability and do accept the restriction.  I have read and fully agree to the above

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SIGNATURE(parent/guardian if under 18)___________________________________________

              

SIGNATURE(parent/guardian if under 18____________________________________________ 

 

DATE____________