Festival at Mt Si
“Unofficial” Wife Carrying Contest
Registration Form
Carrier Name:
Last_______________________________________
First_______________________
Address:_______________________________________________________________
City: ____________________________________
State:
Zip:
Phone:(______)_________________________Email:___________________________
Sex:
Male
Female
Date of Birth:______/______/______
How/Where did you hear about the race?_______________________________________________
Reason for being in the race:_________________________________________________________
A prior great or funny athletic achievement: _____________________________________________
Carried “Wife” Name:
Last_______________________________________
First_______________________
Address:_______________________________________________________________
City: ____________________________________
State:
Zip:
Phone:(______)_________________________Email:___________________________
Sex:
Male
Female
Date of Birth:______/______/______
How/Where did you hear about the race?_______________________________________________
Reason for being in the race:_________________________________________________________
A prior great or funny athletic achievement: _____________________________________________
Weight: _________________ (Minimum weight: 108. If less than 108, the "wife" will wear the
additional weight up to 108 pounds total weight. Additional weight must be either sand or water
secured in a container or bag. The carried person will be weighed the day of the race by our highly
trained staff.)
Reminder: You must also complete and sign the Release Agreement. All entrants must be 21
years of age.
Festival at Mt Si
2016 Wife Carrying Competition
Release of Liability Form
 I hereby voluntarily request to participate in the Festival at Mt. Si’s Wife Carrying Competition
being conducted at the 2016 Festival at Mt. Si at Si View Park
 I understand that this type of race or competition is potentially dangerous
 I agree to visually and physically inspect the course and adjacent areas before using the course
 I am aware that natural and man-made obstacles exist and such hazards are recognized and
accepted whether they are marked or unmarked. By my use of the course, I assume all risks,
including the condition of the course and the adjacent areas
 I am aware and understand that participation in this race or competition may result in serious
injury, death or property damage and I accept such risk on my behalf of myself
All Participants: Agreement, Waiver and Release
In consideration for being permitted by the Festival at Mt. Si Committee and Si View Metropolitan
Park District to participate in the above activity, I hereby waive, release, and discharge any and all
claims for damages, personal injury, death or property damage which I may have, or which may
hereafter accrue to me, as a result of participation in said activity. This release is intended to
discharge in advance the above District (its officers, employees, and agents) from any and all liability
arising out of or connected in any way, with my participation in said activity, even though that liability
may arise out of negligence or carelessness on the part of the persons or entities mentioned above. It
is understood that this activity involves an element of risk and danger of accidents and knowing those
risks, I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk
is to be binding on my heirs and assigns. I agree to indemnify and to hold the above persons or
entities free and harmless from any loss, liability, damage, cost, or expense which they may incur as
the result of my death or any injury or property damage that I may sustain while participating in said
activity.
Competitors, please fill in the below fields and ensure you include a signature.
ALL COMPETITORS PERMIT THE Festival at Mt. Si TO TAKE AND USE PHOTOGRAPHS FOR
THE PURPOSE OF EVENT PROMOTION.
PHOTOGRAPHIC AUTHORIZATION – I do/I do not authorize the use of any photographs taken for
publicity and promotional purposes. All photographs remain property of The Festival at Mt. Si.
I CERTIFY AND REPRESENT THAT I HAVE READ THE FOREGOING AND FULLY UNDERSTAND THE
MEANING AND EFFECT THEREOF.
Carrier Name (print):
Carrier Signature:
Carried Name(print):
Carried Signature: