12.17.2011

HWOS 4 UNDER 18 WAIVER. * MUST GET SIGNED*


Name of activity or event – Hawaii Winter Outlaw Series Event 4
Date of activity or event – Dec 2o & 21 , 2o11
I _____________ hereby waive The Hawaii Winter Outlaw Series its officers, employees and sponsors from any liability of injury, loss or damage to personal property associated with activities participated in this event. I acknowledge that I understand the content of this document. I am aware that it is legally binding and I sign it out of my own free will.
Participant Name ______________ Participant Age ___
Participant signature ___________   Date ________
For participants under 18 years
Participant Name ____________________
Participant Age __________________
Parent/Guardian Name ________________
Parent/Guardian signature _____________
Date _________________

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