Registration

AU-Mazing Race

Team Name(required)	Community(required)
Team Leader's Name(required)	Age(required)
Address : Street Number and Name(required)
Town(required)	Postal Code(required)
Phone Number(required)	Email(required)
Additional Team Members
Team Member 1:	Team Member 1 Age:
Team Member 2:	Team Member 2 age:
Team Member 3:	Team Member 3 age:
Team Member 4:	Team Member 4 age:
Vehicle (Make and model)(required)	License Plate(required)

By submitting this form, I acknowledge (or a parent or guardian for all children under 18 years) that my team and I are solely responsible for our safety while traveling to, during and returning from this event.(required)

I understand that all participants are expected to abide by the Race Rules. The director has the authority to ask individuals to leave due to conduct and inappropriate behaviour. As a result, there will be no refund. (required)

Race Rules

I agree that I will be fully responsible for all costs and expenses which may be incurred by participating in this event. As a participant, I hereby, for myself and my team members, discharge the Upper Valley Autism Resource Centre, the event sponsors, directors, officers, employees and volunteers (collectively the “Released Parties”) from any and all liabilities, losses, costs, claims, damages, accidents or injuries that I or my team members. I also release the lessor of properties on which the event is held. (required)

I authorize the event sponsor to use my photographs and video footage shot at the event for media and promotional purposes. (required)

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