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Race Information

Name of Racer:

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Liability Release - In participating in the Mouth to Mouth Wild Run & Ride and in signing this form for myself (if under the age of 18, by my parent or legal guardian), I understand and agree to release and hold harmless the Kenai Peninsula Borough, City of Soldotna, City of Kenai, Tsalteshi Trails Association, Kenai Watershed Forum, Trout Unlimited Kenai Peninsula Chapter, Kenaitze Indian Tribe, Biking in Kenai & Soldotna, and Cook Inletkeeper along with its board of directors, officers and anyone involved with Mouth to Mouth Wild Run & Ride, including sponsors and volunteers, from liability ?and/or injury or death sustained on the Mouth to Mouth Wild Run & Ride. In signing this release, I am stating that I am aware of the inherent dangers involved in outdoor recreational sports in general and with race-running and cycling in particular. I am also stating that I will hold harmless the above named from any? and all lost or stolen items. I herby grant my irrevocable permission to Cook Inletkeeper and its authorized agents to use my name and any photographs, videotapes, motion pictures, recordings, or any other record of my participation in this event for any purpose.:

Name of Racer
Gender
Parent/Guardian Name and Contact if under 18 years
Liability Release - In participating in the Mouth to Mouth Wild Run & Ride and in signing this form for myself (if under the age of 18, by my parent or legal guardian), I understand and agree to release and hold harmless the Kenai Peninsula Borough, City of Soldotna, City of Kenai, Tsalteshi Trails Association, Kenai Watershed Forum, Trout Unlimited Kenai Peninsula Chapter, Kenaitze Indian Tribe, Biking in Kenai & Soldotna, and Cook Inletkeeper along with its board of directors, officers and anyone involved with Mouth to Mouth Wild Run & Ride, including sponsors and volunteers, from liability ?and/or injury or death sustained on the Mouth to Mouth Wild Run & Ride. In signing this release, I am stating that I am aware of the inherent dangers involved in outdoor recreational sports in general and with race-running and cycling in particular. I am also stating that I will hold harmless the above named from any? and all lost or stolen items. I herby grant my irrevocable permission to Cook Inletkeeper and its authorized agents to use my name and any photographs, videotapes, motion pictures, recordings, or any other record of my participation in this event for any purpose.
Category
Age Group
Shirt Size

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