Battle of Blue Licks

Battle Re-Enactment Waiver

& Photo Release Form

WAIVER:

I recognize that there is an element of risk in any adventure, or living history event. I am also fully aware of the risk and dangers inherent in this battle reenactment.

Knowing the inherent risk, dangers and rigors required of said activity, I certify that I am, and my family, including minor children are fully capable of participating in the said activity.  I assume full responsibility for myself, my family, including minor children for bodily injury, death and loss of personal property and expenses thereof as a result of my negligence of my family participating in said activity.

PHOTO RELEASE:

I hereby give Kentucky State Parks permission to use my (or my child’s) photograph(s) in its publications, promotional material, or on its web site to promote parks. I release the Kentucky Department of Parks, the photographer, employees, and the state from liability for any violation of any personal or proprietary right I may have in connection with such use.

 

If subject is under 18: I, ___________________________, am the parent/

legal guardian of the individual named below and I have read this release

and approve of its terms.

 

Subject Name: _________________________ Date: ______________

Signature : _________________________ (above, if subject under 18)

Phone: ______________________

Address: ________________________________________________

City: _________________________ State: _______ Zip: __________

 

___________________________   __________________________
Signature of participant
                                                  Witness

 

 

 

 

All Material in this Site is © 2007-2016, battleofbluelicks.org

Webdesign by

GELOGOsm

click tracking