General Registration and Waiver Form

SHANTY DAYS 2015

Adult ( 13 & older) MUST have Shanty Day Button to Register

NAME OF EVENT: _Human Bowling______

Release and Hold Harmless Agreement

In consideration of the Caseville Area Chamber of Commerce, the City of Caseville, the Caseville Harbor Commission, the Bella Vista, DJ’s Portable Toilets Rental & Septic Service, Hoy’s Saginaw Bay Marina, and Wooded Island LLC, permitting me to participate in Shanty Days, I, the undersigned, do hereby agree to Assume all risk and Liability associated with my participation in this Event. I recognize and acknowledge that such risks of participation in a festival include, but are not limited to, personal injury and property damage due to crowds, vandals, traffic, inclement weather conditions, including hail, lightening and wind, as well as losses related to theft. On behalf of myself, my heirs, successors and assigns, I do further agree to release, hold harmless and indemnify the Caseville Area Chamber of Commerce, the City of Caseville, the Caseville Harbor Commission, the Bella Vista, DJ’s Portable Toilets Rental & Septic Service, Hoy’s Saginaw Bay Marina, and Wooded Island LLC, and its officials, employees, agents and volunteers from any and all liability or responsibility whatsoever for injury (including death) to my person, for any damage to any City /and or Harbor, Hoy’s Saginaw Bay Marina, and/or Wooded Island property, or the property of others, arising out of, or resulting from, my participation in Shanty Days 2016. I do hereby waive, release and discharge the Caseville Area Chamber of Commerce, its members, the City of Caseville, the Caseville Harbor Commission, the Bella Vista, DJ’s Portable Toilets Rental & Septic Service, Hoy’s Saginaw Bay Marina, and Wooded Island LLC, and its officials, employees, agents and volunteers from any and all claims, demands, actions, damages, and liabilities resulting or arising directly or indirectly out of my participation in Shanty Days 2016 events. I also release with this signature the use of all photographs, images, videos, and Internet publications for the use of the Caseville Area Chamber of Commerce.

Agreed to this day of February 13, 2016

Name of Entrant or Entrants: ______

Signature: ______

A Signature of a Parent or Guardian is required if the entrant is under the age of 18.

Name: ______

Signature: ______