2019 Rev Alaska Club Entry Form
REGISTER YOUR CLUB/GROUP HERE TO BE REPRESENTED AT THE REV ALASKA EVENT
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Car Club Name: *
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Contact Name: *
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Contact Phone Number: *
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Mailing Address: *
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Social Media/Website *
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Terms of Agreement are found by clicking here: https://docs.google.com/document/d/1Dg9jMUuVoOjRyybv_3MZSIfCd8iF8r2zMvHqkFc1IVI/edit?usp=sharing I agree to the terms and conditions of a club entry. *
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I agree to the following waiver of liability: On behalf of the entire group participating in Rev Alaska, I assume all risk of bodily injury, property damage, and personal damage that may occur by participating in Rev Alaska and, for myself/ourselves, their heirs, executors, and administrators, do hereby forever waive and release any and all claims against and agree to hold harmless Rev Alaska, City of Wasilla, their committee, sponsors and volunteers, and the City of Palmer with their respective officers, employees, agents, representatives, volunteers, successors or assigns any kind from any and all claims which may be made for any cause whatsoever arising as a result of participation. Further, I hereby consent to allow my picture or likeness to appear in any official document, news release, sponsor advertisement and/or television and radio coverage of the events within or as part of Rev Alaska, and grant permission to use and/or publish photographic portraits, or pictures, video or film of me in which I may be included in whole, part, composite or reproductions thereof in black and white and/or color or otherwise made through any media now known, for art, advertising trade or any other similar lawful purposes whatsoever, including the publicity and promotion of this event itself, excluding commercial use of or by marketing sponsors. *
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