Grand Island Fathers Day
Lawn Mower Race –
A Race for a Cure
(Please Print :)
Release form must be signed by driver/owner/crew.
I acknowledge the activities of this event are dangerous and involve the risk of serious injury, and/or death, and/or property damage. By my signature I hereby release wave, discharge and agree not to sue any entity associated with the Lawnmower Race Event, Car Show or Kevin Doring 5K Walk. It is my responsibility to ensure that all mower mechanical devices are disconnected and in-operational and I adhere to the rules and any request of me by the race personal.
Printed Name: ______________________________________________________
Signed Name: ______________________________________________________
FORM OF PAYMENT (USED BY RACE PERSONEL ONLY) ________CASH ________CHECK