Make checks payable and mail to
Debbie Salem 19415 Harley John Rd. Riverside, CA 92504
Participant's Release of Liability
I, the undersigned, intending to be legally bound, do hereby, for myself, my heirs, my personal representatives, and assigns, waive, release and forever discharge any and all rights and claims which may exist or may hereafter exist against any corporations, partnerships or individuals associated with the Firecracker Twirling Competition for any and all claims, injuries, or actions sustained, suffered or arising in connection with this competition.
By signing this form, I agree to indemnify and hold harmless the Firecracker Directors and Staff, facility, its officers, agents and/or employees from any liability in connection with the competition.
I also recognize that by entering in this competition I am assuming the risk involved with potential exposure to COVID-19. While the contest directors will uphold as many precautions as possible, I understand that there is inherent risk with any activity that involves possible contact with other people.
Parental Release of Liability
I, the undersigned, intending to be legally bound, do hereby, for myself, my heirs, my personal representatives and assigns, waive, release and forever discharge any and all rights and claims which may exist or may hereafter exist against any corporations, partnerships or individuals associated with the Firecracker Twirling Competition for any and all claims, injuries, or actions sustained, suffered or arising in connection with the competition.
Please use your name for the required guardian fields.
