2009 Ocala Scottish Highland Games & Celtic Festival

HEAVY ATHLETICS LIABILITY WAIVER & REGISTRATION FORM

Application & payment must be received by Sept 1, 2009

Saturday Oct. 3rd, 2009
9:00a.m. - 5:00 p.m.
Ocala Livestock Pavilion
Ocala, Florida

Please print:

Name _____________________________________
Age _______________
E-mail Address ______________________________
Street Address ______________________________
City/State/Zip Code __________________________
Phone _____________________________________

Saturday – A Division,  B Division, C Division, Masters, Women

Requested Shirt size: _________
Requested Division: __________  *
 

Please sign below:

I have read and understand the rules and regulations for this competition and wish to be entered in the events listed above. I fully understand that the events listed above have inherent risks and danger including injury to my person and/or property that may be caused by my participation in each event listed above. I hereby release any and all claims of injury and/or inconvenience that I, my heirs, agents, representatives, and/or administrators of my estate may have in damages which may be suffered by me during the competition, against the Ocala Scottish Highland Games & Celtic Festival, and their agents and/or representatives, and the owner of the property on which the competition is held. I also understand and agree that any photographs, slides, videotapes, or moving pictures that may be made by and for the Ocala Scottish Highland Games & Celtic Festival of the participants of any competition may be used by the Ocala Scottish Highland Games & Celtic Festival in any manner. No Pets or Alcoholic Beverages.


Signed: __________________________ Date: ____________

* Final Decision to be made by Athletic Director, Rich Gideon
Contacts:
Bob Gourlay@OcalaScottishHighlandGames.com 
(352)465-4918
David Martin@OcalaScottishHighlandGames.com (352)454-0672
Rich Gideon@OcalaScottishHighlandGames.com  (352)286-6221

There is a $10.00 registration fee that must be received with the registration form in order to complete your registration.

No Refunds;walk-ons are not guaranteed a lunch and t-shirt.

Please make checks payable to: Holy-Martin, Inc.

Mail form and check To:
David Martin
17627 SE 14th Street
Silver Springs, FL 34488

 

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