Zombie Walk Release Form
I, __________________________________ (print name), understand by signing
below that I am participating in the 2016 Zombie Walk. I understand that by signing this
release that I, the participant, assume all risks of property damage or bodily injury
(including death) that might occur during the event. I agree not to bring against Wagon
Wheel Broadcasting, LLC, WIKI, WSCH, Chandler Chevrolet & Chandler Select,
Anderson’s Sales & Service, Terry’s Heating & Cooling, Bear’s Furniture, the City of
Madison and Madison Parks and Rec department or any companies related to these
sponsors any claim for property damage or bodily injury (including death) that might
occur during the Zombie Walk events.
My participation constitutes permission for Wagon Wheel Broadcasting LLC, without
any further obligation to the participant, to use participant 's name and likeness for
purposes of promoting the Zombie Walk including, but not limited to your voice on-air
and internet as well as photos of you participating in the Zombie Walk event.
Participants under the age of 18 MUST remain with their parent/guardian at ALL times
during the Zombie Walk.
All participants MUST remain on the sidewalks at all time. And be courteous to ALL
businesses and residences along the route of the Zombie Walk.
Violations of this release, and/or rules of the event will result in a minimum participant’s
immediate dismissal from event and forfeiture of entry fee.
I further certify that I am at least eighteen (18) years old and I have read and
understand this release. If under 18 consent of authorized adult will print and sign this
form.
Signature and date: _______________________________________________________
Address: ______________________________ _____________ ______________________
City State Zip Code: ______________________________________________________
Phone Number: ___________________________________________________________