– Hold Harmless Agreement Form

Hold Harmless Agreement Form

Last name of participant *
First name of participant *
Hold Harmless Agreement: I (or parent/legal guardian) hereby waive all rights and claims that I may have against the Celtic Society of Southern Maryland, Inc. (CSSM), it's officers, agents, and membership; the Jefferson Patterson Park and Museum; and any other affiliated entities, in the event of any injuries that may be suffered by me or my possessions, including musical instruments, and equipment, during the competition. I hereby also grant permission for the CSSM to use my photo, likeness or rendering in it's publicity or on it's website within reason.
Last name of parent or legal guardian
First name of parent or legal guardian
Event activity *What will you be doing at this event?
Clan/Association Name *
For Clans and Association members such as Greyhound Rescue.Enter Clan or Association name here
Competitors *For those that are competing for a trophy, ribbon, or monetary award.
Entertainment *For those providing music, dancing, demonstrations, or other forms of entertainment.
Vendor *
For those selling food, drink, or other purchasable commodities.Enter vendor name here.
Volunteer *For anyone freely providing themselves as uncompensated help during an event.
Steward Runner *
This identifies the event the Steward Runner is supporting.Enter the event name here.
Submission of this form acts as the Signature of
Participant or Parent/Legal Guardian (if under 18 years of age).