Please fill out the following form and send it to register for the pole decorating. You can also download a copy of the form, fill it out and mail it back to us as well. First Name (required) Last Name (required) Company / Organization Name Address (required) City (required) Your First Pole Choice (required) Your Second Pole Choice (required) Your Third Pole Choice (required) Your Phone (required) Your Email (required) Your Message (please put the name & address of each person who will be helping decorate the poles here) Please read carefully before signing. 1. I agree that I have read all the rules, regulations, and am participating in this contest on my own will. 2. In consideration of being permitted to participate in this Event on City property, I agree to the terms of this Waiver and Release. 3. I understand and agree that neither the City, the Celebrate Aurora committee, nor any person acting on behalf of either party, may be held liable in any way for any event which occurs in connection with this contest which may result in harm, death, injury or other damage to me. This waiver of liability does not waive liability for any injuries that I obtain as the result of willful, wanton or intentional misconduct by the City, Celebrate Aurora Committee or any person acting on behalf of either party. 4. I agree to defend, indemnify and hold harmless the City and Celebrate Aurora Committee for any expense or liability the City or Committee may incur as a result of my conduct, actions or omissions during the Contest. 5. It is my express intent that this Waiver and Release shall bind the members of my family, if I am alive, and my heirs, assigns and personal representatives if I am deceased. 6. I have read the above and understand the legal significance of signing this document. I agree - by checking this box everyone in your group agrees to our terms & conditions. If you don't check the box, your application will not be allowed.