MAJOR SPONSORS
FORMS
Community Cup
Company:
Date Of Hire:
Company participating with(if not company above):
Do you Receive a paycheck from this company?
Have you participated in the cup before?
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
 Birth Date:
Age(as of 9/21/2009):
Email:
   

The Community Cup Rules Committee reserves the right to review any entry related to eligibility.

Please read the following waiver carefully before signing.

In consideration of accepting this entry, I, the undersigned, intending to be legally bound for myself, my executors, and administrators, waive and release any and all claims for personal injuries, losses, and damages from participation in this event which I may have against the Youngstown YMCA, their members, volunteers, and sponsors, the Mill Creek Metropolitan Park District, its Board of Park Commissioners, and Park District employees, and Youngstown State University.  I attest that I am physically fit and trained sufficiently for completion of this event.  My physical condition has been verified by a licensed medical doctor.  Furthermore, I hereby grant full permission to any and all foregoing to use photographs, videotapes, recordings, and other records of this event.
 
Sign Here(Type Full Name)
Date (Electronic Acceptance of Signature):
 







 

 


















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