June 29, 2007 - July 1, 2007, Lewis and Clark State Park, Washington
By signing this statement I hereby hold harmless in the event of any injury, illness, accident, death or damage
to personal or public property the organizers and attendees of this event, the State of Washington and all counties therein,
and the Washington State Parks Service.
Name: ____________________________________________________________
Address: _________________________________________________________
__________________________________________________________________
Phone Number: ____________________________________________________
Signature/Date: __________________________________________________