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Battle of Byron 2011 BED RACE
Entry DEADLINE is April 30, 2011
Saturday, May 7, 2011 @ 1:00 pm
Name of Organization/ Business: _____________________________________
Contact Person: _______________________ Title: _____________________
Mailing Address: ________________________________________________
City, State, Zip: _________________________________________________
Phone: (home) ___________ (work) ________________ (fax) _____________
Cell Phone: ___________________Email: ____________________________
Bed Race Team Agreement
A Bed Race Team consists of 1 rider & 4 pushers for each bed entered. The bed must be under control at all times before, during and after the race. The bed must be beyond the finish line and at a COMPLETE stop before being released by the pushers.
In consideration for allowing me to participate in this event, I, my heirs, administrators and executors herby waive and release the Battle of Byron, any sponsors, event volunteers, or entities from any and all claims for damages arising out of my participation in this event.
If I am signing this form on behalf of an organization or business, I warrant that I am authorized to sign on behalf of the organization or business.
To participate, all applicants MUST sign this form prior to the Battle of Byron Bed Race. The Entry Fee of $50 ($10 per person) MUST be paid & received by Entry Deadline of April 30, 2011. Please make checks payable to Battle of Byron. Please return completed entry form to Battle of Byron P.O. Box 1862 Byron, GA 31008 Attn: Bed Race
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Signature of Organization/Business Representative Date
Bed Race Team Name: __________________________________________________
Team Pusher #1 PRINT NAME: ____________________________ T-Shirt Size______
Signature: ___________________________________________________________
Team Pusher #2 PRINT NAME: ____________________________ T-Shirt Size______
Signature: ___________________________________________________________
Team Pusher #3 PRINT NAME: ____________________________ T-Shirt Size______
Signature: ___________________________________________________________
Team Pusher #4 PRINT NAME: ____________________________ T-Shirt Size______
Signature: ___________________________________________________________
Team Rider #5 PRINT NAME: ___________________________ T-Shirt Size______
Signature: ____________________________________________ Weight ________
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