Please Select Amount * Individual - $10 Business - $25 Other

Name *

Address *

Primary Phone *

Number of Participants *

Form Release Information, PLEASE READ! Recognizing the risk and possibility of injury associated with participation in this event sponsored by Brown County Parks and Recreation and accepting participation into the event, participant (and, if a minor, participant's parent or guardian) on behalf of themselves, participant's heirs, successors, administrators, and assigns do hereby waive, release, discharge and/or indemnify and hold harmless Brown County, Brown County Parks and Recreation, Cordry/Sweetwater, all employees of these entities, and all other agents of these entities, to include co-sponsors, employees of co-sponsors, and all volunteers who make the event possible and from any and all claims for bodily injury which exists or may arise by virtue of participant's participation in the event. Participant certifications: participant (or, if a minor, participant's parent or guardian) hereby certify that the participant is physically fit and capable of physically participating in this event and that the participant has the requisite physical skills and abilities to safely participate in this event and that allowing the participant to participate in this event will not expose the participant or others to a risk of physical and/or mental harm. If the participant is a minor, the undersigned parent or guardian of the participant expressly authorizes the participant to participate in this event.

Waiver *

I agree

Price *

Signature *

Please type your name here

reCAPTCHA