| AZSTAR - Biker Dog Run Pre-Registration Mail to : Arizona Search Track and Rescue Inc. Biker Dog Run P.O. Box 5535 Peoria, AZ 85385-5535 |
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| Name______________________________ Phone:________________________________________ Passenger__________________________ Email Address____________________ Address__________________________________________ City/ST/Zip______________________ Number of People________ Dog Rider Yes ___ No_____ (if your dog is riding he will get a ride pin) Amt Paid ________________________ Check___________ Cost: Registration $10.00 per person. Preregistraion by May 7th please. Includes ride, BBQ and Raffle Ticket This is a tax deductible donation please send check or money order to: NO Cash Please Arizona Search Track and Rescue Inc. Biker Dog Run P.O. Box 5535 Peoria, AZ 85385-5535 We will promptly send you a receipt for your tax records. THANK YOU FOR YOUR SUPPORT |
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| RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT IN CONSIDERATION for being permitted to participate in AZSTAR- Biker Dog Run THE UNDERSIGNED: 1. HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the Arizona Search Track and Rescue, Inc, Animal Attitudes Dog Training, and any and all Sponcers, its related companies, the officers, directors, management, officials and volunteers assisting in the event, the sanctioning organization or any subdivision thereof, grounds operators, grounds owner, officials, promoters, sponsors, advertisers; owners and lessees of premises used to conduct the event and each of them, their officers and employees, all for the purpose herein referred to as "releases," from all liability to the undersigned, his personal representatives, assigns, heirs, and next of kin for any and all loss or damage, and any claim or demands therefore on account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence of the releases or otherwise while the undersigned is participating in the event. EACH OF THE UNDERSIGNED expressly acknowledges and agrees that the activities of the event are dangerous and involve the risk of serious injury and/or property damage. THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the by of the State in which it is operated in and that if any portion thereof is held invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and effect. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements or inducements apart from the foregoing written agreement have been made. THE UNDERSIGNED ALSO AGREES TO release the use of any photos, slides, videotapes, etc. that might contain the UNDERSIGNED for future use in promotional and/or informational activities as deemed appropriate by any of the releases. Each person participating has to sign and date. _____________________________ ___________________________ Name Name _____________________________ ___________________________ Signature Signature _____________________________ ___________________________ Date Date |
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