Drive for Dalton Team Registration

Team Name*

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Player 1 Name*

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Player 2 Name*

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Player 3 Name*

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It's okay if these are unknown or subject to change.

Player 4 Name*

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It's okay if these are unknown or subject to change.

I AGREE I HAVE READ, UNDERSTAND AND AGREE TO THE BELOW:**

In consideration of being allowed to participate in any way in "Drive for Dalton", related events and activities, the undersigned ("Releasor") acknowledges, appreciates and agrees that: 1. The risk of injury from the activities involved in the event is significant including the Potential for permanent paralysis and death. While particular rules, equipment and personal discipline may reduce the risk, the risk of serious injury does exist; and 2. I knowingly and freely assume all such risks, both known and unknown even if arising from the negligence of the Releases or others. I assume full responsibility for my participation, and 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe any unusual significant negligence or hazard during my presence or participation I will remove myself immediately from participation and bring such to the attention of the nearest event volunteer or representative 4. I will inspect any concession item or merchandise purchased or won through a raffle or auction held at the event and agree to purchase and consume such at my own risk and responsibility. 5. I, for myself and on behalf of my heirs, assigns, and personal representatives, hereby release and hold harmless Tough2gether Foundation, Roanoke Country Club, Dana Close, Charles Vernon, Jay Rice, Roger and Lisa Ward, and the officers, agents, board members, volunteers, sponsors, advertisers, owners and lessors of the premises and any others involved in planning, organizing, administering, providing location for this event ("Releasees").

Waver/ Release of liability for participant of Drive for Dalton

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Drive for Dalton Team Registration