Rotary Club of Stratford Dragon Boat Festival

Team Signature Form     Date ……………

 

Please print all names

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

Name

 

Date of Birth

 

Address

 

Witness Name

 

Signature

 

Witness Signature

 

 

In signing above, I hereby acknowledge and represent, that I have read the Rotary Club of Stratford Liability Release, I understand it and agree to it voluntarily, that I am 18 years of age or older, and of sound mind, or will be 12, 13, 14, 15, 16, 17 or 18 years of age prior to December 31st of this year and have co-signed with a parent or guardian, as the case may be.