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Buckthorn & Brews event registration - Saturday, Nov. 21, 9 a.m.
This volunteer event is recommended for adults and teens, and we will provide activities for children over the age of five.
Please fill in your contact information, then provide the names and ages of anyone joining you for this event.
*
1.
Name
(Required.)
*
2.
City of residence
(Required.)
*
3.
Email address
(Required.)
*
4.
Phone number
(Required.)
*
5.
I am at least 18 years of age.
(Required.)
Yes
No
*
6.
Please read and acknowledge the following liability statement on behalf of yourself and any family members joining you at this event:
In consideration of being allowed to participate in this Activity, I hereby personally assume all risks in connection with this Activity and I hereby release and hold harmless the City of Minnetonka and any person acting on behalf of the City in this Activity from any liability for harm, death, injury or other damage which may befall me during this Activity, whether foreseen or unforeseen, however caused and whether or not caused by the negligence of the City of Minnetonka or any person acting on behalf of the City. This release does not apply to injuries as the result of willful, wanton, or intentional misconduct of an official, employee or agent of the City of Minnetonka.
(Required.)
I accept this liability statement.
7.
Other attendee 1: Name and age
8.
Other attendee 2: Name and age
9.
Other attendee 3: Name and age