Tails for Montour Trail IV
5K Fun Dog Walk
Registration Form

Benefit of the Montour Trail
June 7, 2008
 
ENTRY FEES:
  One Dog Two Dogs
Until May 15th $10 $16
After May 15th $12 $24

Make checks payable to:
Cecil Friends of the Montour Trail
(Please do not sent cash.)


Mail to:
Cecil Friends of the Montour Trail
Tails to Trails III
1279 Morgan Road
Bridgeville PA 15017
Please print (Unsigned forms are incomplete and cannot be accepted)
Name:
Address:
 
City:
State, Zip:
Phone:
Email:
Number of Dogs:    
And their name(s):
Waiver: In consideration of your accepting this entry, I, the undersigned, intending to be legally bound, hereby for myself, my heirs, executors, and administrators, forever waive, release, and discharge any and all rights and claims for damages and causes of suit or action, known and unknown, that I may have against the Montour Trail and, its partners and members and, volunteers for any kind of injuries suffered by me in this event, including but not limited to injuries incurred by and/or caused by any animals. I attest that I am physically fit, am aware of the dangers and precautions that must be taken when walking in all weather conditions, and have sufficiently trained for the completion of this event. I further assume and will pay my own medical emergency expenses in the event of an accident, illness or other incapacity regardless of whether I have authorized such expense. Further, I hereby grant full permission to the Montour Trail Council and/or agents hereby authorized by them, to use any photographs, videotapes, motion pictures, recording or any other record of this event for any legitimate purpose at any time. I have read this waiver carefully and understand it.
Signature/ Date: