Waiver / Release form

Entry invalid if not signed. In consideration of the foregoing, I, the undersigned, assume full and complete responsibility for any injury or accident which may occur during my participation in this event, or while I am on the premises of the event. I hereby release any sponsors,  promoters, contributors and all other entities associated with this event and their agents, or employees from any or all injury or damage, whether such injury or damage be caused by negligence. This includes but is not limited to, John Lee Pratt Park, the City of Fredericksburg, and the Knights of Columbus. I also grant permission to use my/my child’s likeness for publicity of the event. I have read the release and certify my agreement or my parent’s or guardian’s if <18 years of age.

Completing this waiver verifies that you have carefully read the above agreement and understand its contents.
Participant Name *
Participant Name
Parent/Guardian
Parent/Guardian
If participant is under 18 years of age.
Gender *
Date of Birth *
Date of Birth
Address *
Address
Phone *
Phone