RELEASE FORM
2007 Lone Pine Christmas Parade
~ COWBOY CHRISTMAS ~
Saturday, December 8th 2007
1:00 P.M.
Parade Line-Up - 12 Noon
I here by agree to release and hold blameless any person or persons, organizations or anyone or anything connected with this function, from any loss, damage, injury or death resulting from my participation in this function. I hereby enter at my own risk and agree to pay and accept all responsibility for any such loss, damage, injury or death.
Participant’s Signature:______________________Date_______________
Parent or Guardian’s Signature:_________________Phone________
Address:_________________City/Zip______________________
Name of Club or Organization___________________________
THIS RELEASE FORM MUST BE SIGNED BY EVERYONE TAKING PART IN THIS PARADE.
_____________________________________________________
Please return to the Chamber of Commerce no later than Thursday, December 6th 2007
Thank You