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To register online, go to www.active.com 14th ANNUAL New Belgium Brewing FRUITA FAT TIRE FESTIVAL
REGISTRATION FORM
Mailing address____________________________ City_______________________________ State_____Zip______ Day Phone___________________________ E Mail _______________________ Sex_______Age_______(as of 4/23/09)
TOTAL ENCLOSED$_______ $25 charge will be assessed for returned checks Signature ______________________________Date__________ Parent or Guardian (if under 18 years of age) ______________________________Date__________ "All fees are non-refundable" TOTAL ENCLOSED$_______ Signature______________________________Date__________ Signature of Parent or Guardian if under 18 _______________Date______ Return completed form to: Fruita Fat Tire Festival, c/o Event Marketing Group, 14128 Blue River Trail, Broomfield, CO 80023. Please make check payable to Event Marketing Group LLC. Waiver -In consideration of my entry, I, intending to be legally bound for myself, my executors, administrator and assignees, do hereby waive and release the sponsors of this event and all persons and agencies connected with this event from all claims for damages, injuries or death, arising from my participation in and the travel to and from this event. I recognize that I may become injured or incapacitated in a location where it is difficult for management to get required medical aid to me in time to avoid physical injury or even death. I also certify that I am physically fit and adequately trained to participate in this event. I also understand and agree that a sponsor may subsequently use for publicity and/or promotional purposes my name and/or pictures of me participating in this event without obligation or liability to me. I also understand entry fees I pay are non-refundable.
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