2012 Ocala Scottish Highland Games

& Celtic Festival

HEAVY ATHLETICS LIABILITY WAIVER

 & REGISTRATION FORM

Application & payment must be received by September 15, 2012 (Positions are limited, First Come First Serve) Register Early

Saturday Oct. 6th, 2012
8:00 a.m. - 5:00 p.m.
Florida Horse Park
Ocala, Florida 34488
All vehicles must be off field by 8a.m.

Please print:

Name _____________________________________
Age _______________
E-mail Address ______________________________
Street Address ______________________________
City/State/Zip Code __________________________
Phone _____________________________________

Saturday – A Division,  B Division, C Division, Masters, Women

Requested Shirt size: _________
Requested Division: __________  *  

Please sign below:

I have read and understand the rules and regulations for this competition and wish to be entered in the events listed above. I fully understand that the events listed above have inherent risks and danger including injury to my person and/or property that may be caused by my participation in each event listed above. I hereby release Ocala Scottish Highland Games, Florida Horse Park and their officers, staff, and volunteers of any and all claims of injury and/or inconvenience that I, my heirs, agents, representatives, and/or administrations of my estate may have in damages which may be suffered by me during the competition, against the Ocala Scottish Highland Games & Celtic Festival, and  their agents and/or representatives, and the owner of the property on which the competition is held. I also understand and agree that any photographs, slides, videotapes, or moving pictures that may be made by and for the Ocala Scottish Highland Games & Celtic Festival of the participants of any competition may be used by the Ocala Scottish Highland Games & Celtic Festival in any manner. No Pets.  


Signed: __________________________ Date: ____________


Registration deadline is Sept 15th, 2012. Don't miss it, we will be cutting off registration this year NO EXCEPTIONS!
There is also a $10 registration fee that must be received with the registration form in order to complete your registration.

 * Final Decision to be made by Athletic Director, Rich Gideon

Website: www.ocalascottishhighlandgames.com
Contacts:
 

AthleticDirector@OcalaScottishHighlandGames.com
Bob Gourlay@OcalaScottishHighlandGames.com (352)465-4918
David Martin@OcalaScottishHighlandGames.com (352)816-2288
 

No Refunds

 Please make checks payable to: Holy-Martin, Inc.

Mail form and check to:
David Martin
17627 SE 14th Street
Silver Springs, FL 34488

Email to:
davidmartin@ocalascottishhighlandgames.com