Sneak Peek Walking Tour Registration
Tuesday, September 4, 2018
5:30 P.M. Downtown Salisbury Parking Garage (inside right of Circle Ave. entrance)
If registrant is under 18 years old, name of parent or guardian that will be accompanying them (each individual must be registered separately; no unaccompanied minors allowed).
Phone number of Adult Participant /Parent/Guardian
Email address of Adult Participant /Parent/Guardian
Waiver & Permission
By completing this registration, I release the Wicomico County Health Department (WiCHD), the WalkWicomico (WW) coalition, all sponsors, licensees, successors, and assigns from all claims and liabilities of any kind arising out of my/my child's participation in this event. I assume all risks associated with me/my child walking in this event, including high heat, humidity, conditions of the walking areas, personal and traffic safety, etc. I also give permission for my/my child's words and/or likeness to be used in any/all media (i.e., digital, social, print, video) and publications (i.e., flyers, brochures, presentations) without approval of product from or payment for product to me. I understand WiCHD and WW assume no responsibility for the use of my/my child's words and/or likeness by the media to which it is submitted/posted, or by a third-party. I am at least 18 years and am competent to contract in my own name. I have read this release and understand its contents, meaning, and impact.
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