NAME___________________________________________________
ADDRESS________________________________________________
CITY__________________________STATE_______ZIP____________
SHIRT SIZE S M L XL
In consideration on acceptance of this entry, I waive for myself, my heirs, and assigns, any and all claims of damage against the Turtle Days Race Committee and their representaties, for any/all injuries received before, during, and after this event. I attest and verify that I am sufficiently conditioned to participate in this event.
SIGNATURE _________________________________DATE________
(Parent or guardian signature required if uner 18)