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2019 JAMS POLICE SKILLS REGISTRATION
LIABILITY WAIVER:
The below named participant agrees that he/she is participating voluntarily in this training seminar and agrees to release and hold harmless all persons and organizations including but not limited to: the County of Albemarle, the City of Charlottesville, the University of Virginia, the Albemarle County Police Department, the Charlottesville City Police Department, the University of Virginia Police Department, The DoubleTree Hotel, Sams Club, the Boys and Girls Club of Charlottesville, and all of their officers, directors, and employees for any loss, cost, injury or damages that may be suffered as a result of participation.

The participant understands and agrees that there are inherent risks of participation including bodily injury or death and freely and knowingly assumes such risks.

*Event participants will also be required to sign this or a similar waiver in person prior to participating in the event.

REGISTRATION: $100.00 PER RIDER--INCLUDES BANQUET

(Check payable to Jefferson Area Motor Squad or pay online by clicking DONATE Button at JAMSQUAD.ORG)

Name *
Your answer
Address *
Your answer
Email *
Your answer
Phone *
Your answer
Organization/Department *
Your answer
I plan to compete in... (Check all that apply) *
Required
I will be competing on... (Choose one)
T-Shirt Size *
I plan to attend the banquet *
If attending the banquet, how many will attend? (enter total number, you plus guests)
Your answer
Please play my song! (tell us what song you want played while you compete)
Your answer
I have read and agree to the terms described in the Liability Waiver above *
Required
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