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, Moss Free Clinic, the City of Fredericksburg, and Mary Washington Healthcare. 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.