By submitting this form I hereby agree to participate in the Optimist Legends 6th Annual Soap Box Derby and I confirm that I have read, understand and agree to the Rules.
Furthermore, I understand that there are certain risks of injury inherent in the practice and play of this sport, as well as in other related activities incidental to my participation, and I am willing to assume these risks. I hereby certify that I am fully capable of participating in the designated sport and that I am healthy and have no physical or mental disabilities or infirmities that would restrict full participation in this activity-except that is specified in the form.
In addition to giving full consent for my participation, I do hereby waive, release and hold harmless the organizations named below, its sponsors, volunteers, supervisors and representatives for any injury that may be suffered by me in the normal course of participation in the designated sport and the activities there to, whether the result of negligence or any other cause.
I authorize the use of the participant's name and any photos taken of the participant, parent/legal guardian, family or the cart during the Optimist Legends 6th Annual Soap Box Derby solely for the purposes of promotion of this or future events.