This registration entitles up to five named individuals to admission to the event, a raffle ticket, and any participant keepsakes.

By participating in the event, you agree to the following release of liability:

WAIVER and IMAGE RELEASE

I agree, as a consideration of, and in consideration for, being permitted to participate in this ride, to freely and expressly assume and accept any and all risks of injury or death to the rider, or property loss or damage, including injury, death, loss, or damage attributable to the negligence of Yellow Springs Home, Inc.

I agree to release the sponsors and promoters of the Ride, including Yellow Springs Home, Inc. and other sponsors or affiliated organizations, and their respective agents, directors, officers and employees from any and all responsibility or liability for injuries or damages to my person or property which result, either directly or otherwise, from my participation in the Ride, including injury, death, loss, or damage to my person or property, including injury, death, loss, or damage attributable to the negligence of Yellow Springs Home, Inc. and its agents, directors, officers and employees.

I agree not to make a claim against or sue Yellow Springs Home, Inc. or other sponsors of affiliated organizations and their respective agents, directors, officers and employees for injuries, loss, or damages related to my participation in the Ride.

I am aware that this is a release of liability and a contract between Yellow Springs Home, Inc. and myself. I am signing it freely and of my own accord and I recognize and agree that it is binding upon myself, my executor, heirs and assigns, and in the event that I am signing it on behalf of any minors, I have full legal authority to do so, and realize the binding effect of this contract on them, as well as on myself.

I hereby consent to Yellow Springs Home, Inc.’s use of my image and name, and release Yellow Springs Home, Inc. and its officers, directors, agents and employees from any and all claims which may result at any time by reason of including, without limitation, claims of privacy.

By registering for this event, I, THE UNDERSIGNED, signify that I HAVE CAREFULLY READ THIS RELEASE OF

LIABILITY AND FULLY UNDERSTAND AND AGREE TO ITS CONTENTS.

Home, Inc. Halloween Hoopla!

WHEEL-y make a difference this Halloween!