REGISTRATION FORM and WAIVER OF LIABILITY

UNIT or ORGANIZATION:   ___________________________________________________________________

I, the undersigned, understand that I will not hold responsible the Orange County Parks Commission, the Orange County Farmer's Museum and the 124th N.Y.S.V., its officers or membership, for any accidents, injuries, property damage, loss, theft, or harm to myself and/or personal property during the course of the Civil War Event held September 17, 18 & 19, 2010 at the Orange County Farmers Museum, Montgomery, N.Y.

DO NOT SIGN - SIGNATURE IS NOT REQUIRED UNTIL DAY OF EVENT

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