All competitors must sign this document before participating in the Appalachian Foothills Fire Muster Individual Firefighter Competition.  This is a part of your score card and official record.  One copy will be issued to each participant at the time of registration.

In consideration of the acceptance of my application for entry in the Appalachian Foothills Fire Muster Individual Firefighter Competition, I hereby freely agree to and make the following contractual representations and agreements.

The activities involved in this competition have been fully explained to me.  I understand them and represent to the administrators of the Appalachian Foothills Fire Muster Individual Firefighter Competition that I am physically fit to perform such vigorous and strenuous activities without any threat to my health or safety.  I fully realize the dangers of participating in the Appalachian Foothills Fire Muster Individual Firefighter Competition and fully assume the dangers and risks, whether obvious or latent, associated with such participation.  I also agree to participate in accordance with the rules and judgments of the referees and understand that the referees decisions in all matters are final.

I hereby waive, release and discharge for myself, my heirs, legal representatives, and successors in interest (hereinafter collectively "successors") any and all rights and claims which I have or which may hereafter accrue to me against the administrators of this event, the Appalachian Foothills Fire Historical Society, Inc., the host organization and the sponsors, and all other persons or entities, including, without limitation, any claims for physical injury, including death, and for any damage to property arising out of or in any way related to the Appalachian Foothills Fire Muster Individual Firefighter Competition or my participation in the Appalachian Foothills Fire Muster Individual Firefighter Competition.

I agree to save, defend, indemnify, and hold harmless the administrators of this event, the Appalachian Foothills Fire Historical Society, Inc., the host organization and the sponsors, and all other persons and entities from any and all claims, actions or causes of action that may be asserted by any third parties as a result of any injury, including death, or damage to personal property.

I agree for myself and successors that the above representations are contractually binding and are not mere recitals and that should I or my successors assert my claim in contravention of this agreement, I or my successors shall be liable for the expenses (including legal fees) incurred by the other part or parties.

This agreement may not be construed as modification of any of the provisions herein or consent to any subsequent waiver or modification.

I also agree to allow the administrators and sponsors of the Appalachian Foothills Fire Muster Individual Firefighter Competition to use my name, voice, and likeness in a photo or on video tape for promotional purposes or media releases.  I also acknowledge by affixing my signature that this is a drug-free competition and I am competing without the assistance of any illegal drug.

Printed Name: ______________________________________________

Signature:  _________________________________________________        Date:  ________________________

Witness:  __________________________________________________        Date:  ________________________