NBTA Fall Festival Pageant and Open Contest October 25, 2009
Contest Waiver
Please print this page out and submit with payment.Contest Directors and Youth Activity Center are not responsible for accidents, injuries, or lost articles. Parent or guardian accepts full responsibility for twirlers participation in this event. I agree to hold NBTA, Contest directors and Youth Activity Center harmless in the event my child is injured while participating. Signature is required for the contestant to participate.
Signature __________________________________
Date _______________________
Name of Contestant ____________________________________________________
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Payment and waiver must be postmarked by October 5, 2009 or you will be charged a $20.00 late fee. Please include late fee if mailing after October 5, 2009. Any payment not received by Oct.15, will result in contestant being dropped from contest unless prior arrangements have been made.Mail to:
Ann Durkin
1639 Ukiah Lane
Fort Collins, CO 80525