OPTIMIST FISHING RODEO

Name *

First Name

Last Name

Phone

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Child #1 Name *

First Name

Last Name

Child #2 Name

First Name

Last Name

Disclaimer & Permission for Photography *

I assume all risk of bodily injury, property damage and personal damage that may occur by participating in the Fishing Rodeo, for myself/ourselves, their heirs, executors, and administrators, and do hereby forever waive and release any and all claims against and agree to hold harmless the City of East Ridge, East Ridge Optimist Club, its committee, sponsors and volunteers and The City of East Ridge Parks & Recreations with their respective officers, employees, agents, representatives, volunteers successors, or assigns from any and all claims which may be made for any cause whatsoever arising as a result of participation. I hereby consent to allow my picture/likeness, as well as my family or guests, to appear in any official document, news release, sponsor advertisement, and/or television and radio coverage of the events within or as part of the Fishing Rodeo, and grant permission to use and/or publish photographic portraits, pictures, video tape or film, in which I or my family/guests may be included in whole, part, composite or reproductions, in black & white and/or color or otherwise, made through any media known for art, advertising trade or any similar lawful purpose whatsoever, including the publicity and promotion of this event itself, excluding commercial use of or by marketing sponsors.

I understand and accept.