My submittal of this form indicates that I, my relatives and heirs, and associates and others hereby release and forever hold harmless, the sponsors and promoters of this event, including the City of Eureka, the Eureka Days Committee, all officers, employees, agents and volunteers of these organizations, as well as subcontractors associated with this event from any claims, liability and causes of action resulting from any personal injury, property damage or loss arising out of my (and/or my family’s and/or employees’) participation in this event, whether or not caused by negligence or fault of any of the released parties. My submittal of this form further gives permission to the City of Eureka to take photographs/video of me, and my family and/or employees, if applicable, at this event and to use these images for future promotions and/or in the organizations' publications and web media. I understand that I will not be allowed to participate in this event unless a completed registration form is on file with the Eureka Days Planning Committee.
|Program Type||Eureka Days|
|Enrollment Begin Date||4/10/2019|
|Enrollment End Date||9/8/2019|