Registration Form

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REGISTRATION INFORMATION AND FORM

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Print This Page - Fill It Out - Mail It In!
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OKTOBERFEST VOLKSMARCH 2001 REGISTRATION FORM

REDSTONE WANDERERS

(Please print or type)

One for each participant.

Name:                            Adult?    If < 18      5K or      All Walkers
Last, First, MI                  Y/N      give Age    10K?         $2.00

_____________________   ___        ____        ____        ________

Do you want us to save you a Commemorative Mug for $5? ______

Do you want a Walking Shield for $2 ______

Do you want us to save you a child's (4 ft.) Walking Stick for $6? _____

Do you want us to save you an adult (4 1/2 ft.) Walking Stick for $8? _____

                                                                                                PAGE TOTAL $:___________

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ADDRESS:                                         CITY:             STATE     ZIP CODE     PHONE #

Make checks Payable to: "REDSTONE WANDERERS" 
Mail to: Max Bennett, Attn: Volksmarch, 103 Bay Pointe Lane, Madison, AL 35758

Sorry, but we need the below signed too...

RELEASE – COVENANT NOT TO SUE

I, _______________________, am voluntarily taking part in a Volksmarch sponsored by the Redstone Wanderers Walking Club, a non-profit organization located at Redstone Arsenal, AL to assist them in raising funds for community events. In consideration of the Army permitting me to take part in these activities, I for my heirs, administrators, executors, and assignees, make the following agreement: I agree that I will, at no time, prosecute or in any way aid in prosecuting and demand, claim, or suit against the United States Government or the Redstone Wanderers or their sponsors for any loss, damage, or injury to my person or property that may occur from any cause whatsoever as a result of taking part in said Volksmarch.

I understand and agree that I am assuming the risk of any personal injury or property damage to me that may result while participating in the Volksmarch. These include such injuries or damages as may be caused by the negligence of the U.S. Government or the Redstone Wanderers and their sponsors.

Persons who cannot agree to the above are asked not to participate.

Regarding Participating Children Under 18 Years of Age

I, _____________________________, being the parent/legal guardian of the above said minor child(ren), consent to his/her/their taking part in the Redstone Arsenal Volksmarch. I will abide by the terms spelled out above and I take full responsibility for the actions or injuries of the children listed hereon.. (First Name and age of minor child):___________________________

SIGNATURE/DATE OF RESPONSIBLE ADULT: ____________________________________

 

 

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Copyright © 2001 Redstone Wanderers
Last modified: July 25, 2001