Registration Form

Cypress Bend

Entry Fee:  Free to the first 100 registrants who apply by June 19 (online only)
$5 June 20 - July 17 (or after the first 1 registrants). 
$10 day of event
Total event registration limited to 300 (total).

I have read the below waiver of liability and hold harmless agreement and, by completing this form, agree to abide by the aforementioned Waiver and Assumption of Risk.

Name *
Name
Phone
Phone
Address
Address

Graphix, Inc. dba Robin Wade Furniture and WildWood Creek Festival Event Release WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

1.  In consideration for receiving permission to participate in the 2014 Wild Wood Creek Festival to be held on July 19, 2014I hereby release, waive, discharge and covenant not to sue Robin Wade Furniture, its officers, servants, agents and employees (hereinafter referred to as "releasees") as well as WWCF staff, volunteers, special guests, other guests, speakers, musicians, from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or relating to any loss, damage or injury, including death, that may be sustained by me, or to any property belonging to me, whether caused by the negligence of the releasees, or otherwise, while participating in the Wildwood Creek Festival, or while in, on or upon the premises where the Event is being conducted, while in transit to or from the premises, or in any place or places connected with the Event.

2.  I am fully aware of risks and hazards connected with being on the premises and participating in the Event, and I am fully aware that there may be risks and hazards unknown to me connected with being on the premises and participating in the Event, and I hereby elect to voluntarily participate in the Event, to enter upon the above named premises and engage in activities knowing that conditions may be hazardous, or may become hazardous or dangerous to me and my property.  I voluntarily assume full responsibility for any risks of loss, property damage or personal injury, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of my being a participant in the Event, whether caused by the negligence of releases or otherwise.

3.  I further hereby agree to indemnify and save and hold harmless the releases and each of them, from any loss, liability, damage or costs they may incur due to my participation in the Event, whether caused by the negligence of any or all of the releases, or otherwise.

4.  It is my express intent that this Release shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a Release, Waiver, Discharge and Covenant Not to Sue the above named releases. In signing this release, I acknowledge and represent that:

A.  I have read the foregoing release, understand it, and sign it voluntarily as my own free act and deed;

B.  No oral representation, statements or inducements, apart from the foregoing written agreement, have been made;

C.I am at least eighteen (18) years of age and fully competent; and D.I execute this Release for full, adequate and complete consideration fully intending to be bound by same. In witness whereof, I have hereunto set my hand and seal and press the enter key, on the date that this registration form was completed.