2012 Children 1 Page

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$8.

00 Per Child

2012 Childrens Courir de Mardi Gras

Arm Band Colors Ages 0 4 = Yellow Ages 5 9 = Purple Ages 10 12 = Green Ages 13 14 = Blue

Waiver and Release of Liability I, the undersigned parent and/or guardian, do understand for the Childrens Courir de Mardi Gras, that I [we] release the Church Point Saddle Tramp Riders Club Inc. and its members from any and all liabilities for any injuries, damages, expenses, and/or claims which might arise as a result of my [our] participation in the Childrens Courir de Mardi Gras. [February 18, 2012] Childs Name 1-$8 2-$16 3-$24 4-$32 5-$40 6-$48 7-$56 8-$64 9-$72 Age Arm Band Color Parent / Guardian Signature

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