BikeRodeoS

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Individual Registration 18yr and Older

Participant Name:

D.O.B.:

Age

Gender

Address:

City

Zip

Phone Number:

Email

Read and Agree: Waiver of Liability, Release for Video and Image Authorization, Bike Rodeo Rules and Responsibilities

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I have read and accept the Waiver of Liability.

**

I accept and release authorization as stated above for video and Image rights.

**

I agree that I have read and understand all the Baldwin County Sheriff Office's "Bike Rodeo Rules and Responsibilities" and I will comply accordingly.

Enter Parent/Guardian Full Name