Firefighter Fitness Challenge

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3-Person Relay - Sacaton Fairgrounds.

- All Players must be a current employee of the Gila River Indian Community or GRIC entity
- The Team Captain will register the team. NO EXCEPTIONS!!
- Limited to 10 teams, 3 players per team (2 Males & 1 Female or 2 Females & 1 Male).

- Please fill out each section accordingly, failure to do so will result in your registration being INCOMPLETE

MUST PARTICIPATE IN 3 ACTIVITIES TO RECEIVE A SHIRT

**Must participate in a minimum of 1 event to receive meal.

Team Name? *

Team Captain's First & Last Name? *

Team Captain's Email Address? *

Team Captain's Phone Number? *

GRIC Department or Entity? *

Team Member #2, First & Last Name? *

GRIC Department or Entity? *

Team Member #3, First & Last Name? *

GRIC Department or Entity? *

(1) Alternate Team Member, First & Last Name? *

*May ONLY compete if one (1) other teammate is unable to participate. No other substitutions will be allowed.

GRIC Department or Entity? *

WAIVER & LIABILITY RELEASE I hereby enter the above activity at my own risk. I represent that I am in sufficient health necessary to participate in this activity. I further agree that the Gila River Indian Community, the District staff and/or facility along with the Tribal Recreation/Wellness Center will not be liable and/or responsible for any bodily injury, thefts or damages incurred prior, during or after the event. I will make no claim against the Gila River Indian Community, District staff, Tribal Recreation/Wellness staff, or institute any legal proceedings for the personal injuries or property damage arising from this Community event. MEDIA RELEASE I grant permission to the Gila River Indian Community Tribal Recreation and Wellness Program and its programs, employees, volunteers, and contractors (collectively referred to herein as the “Program”) to take, edit, copy, exhibit, publish, display, distribute, and release my image, likeness, name, and sound of my voice, as recorded on prints, photographs, digital images, and videotape or films, in and to media projects for, but not limited to, print, broadcast, and Internet media outlets, such as newspapers, radio, television, and news websites. I waive any right to any compensation arising or related to the use of my image or recording. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. I release the Program from any and all claims or liabilities resulting from the use, edit, copy, exhibition, publish, display, distribution, or release of my image, likeness, name, or sound of my voice in or to media projects. *

YYYY

BY TYPING IN YOUR FIRST and LAST NAME, you hereby acknowledge and agree to the above waiver/liability/media release for yourself and/or the minor child(ren) you are completing this registration form for. *

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