Buffalo Gap Volunteer Fire Department


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Taylor County Public Notice

Taylor County Public Notice

BUFFALO GAP WEATHER

Buffalo Gap Volunteer Fire Dept Pumper Truck Fundraiser

Walk/Run or Cycle for Pumper Truck Fundraiser - 1st Annual

 

Required   Indicates Required Field
First Name: Required
Last Name: Required
Address: Required
City: Required
State: Required
Zip Code : Required
Phone number: Required
Email Address: Required
DOB (M/D/YYYY): Required
Emergency Contact Name: Required
Emergency Contact Phone: Required
Event Registration: Select desired event : Required
Enter name to indicate you have read & agree to all terms of event waiver: Required
Date of waiver signed: Required 11/27/2022 1258

 

*** You may register in person ***

*** Registration begins at 9:00 am Saturday October 1, 2022 ***

***  BGVFD will have cash boxes placed throughout the event for cash donations  ***

***  You may also donate on BGVFD website:  www.buffalogapvfd.com  ***

BUFFALO GAP VOLUNTEER FIRE DEPT. PUMPER TRUCK FUNDRAISER

Saturday October 1st, 2022

 

REGISTRATION FOR ALL EVENTS ARE FREE!!!!!

Registration & Contact Information

(Each Individual 18 & Up Must Complete Registration Form)

(Individuals less than the age of 18 must be accompanied by an adult)

 

*First Name:  __________________              *Last Name:  __________________

*Address:  _______________

*City:  _____________     State:  ______                     *Zip/Postal Code:  __________

*Phone Number:  _____________________

*Email:   ____________________   

*DOB (M/D/YYYY):  ________________                    

*Emergency Contact Name:  ___________________________            

*Emergency Contact Phone:  __________________________

 

Event Registration

Select desired event

__________     I am WALKING  the 3.1-mile route

__________     I am RUNNING  the 3.1-mile route                Bib #:  __________

__________     I am CYCLING  the 12.5-mile route                               Bib #:  __________

                                       (If you register online pick up bib on day of event)

1st, 2nd & 3rd prizes will be distributed to runners & cyclists. 

              

 

 

Event Waiver

WAIVER, RELEASE, AND INDEMNITY AGREEMENT.  With full knowledge that walking, running or bicycle riding is or may be a hazardous activity, and in consideration of your accepting this entry, I, intending to be legally bound for myself (and my minor child or children, as applicable), my heirs, executors and administrators, do hereby waive and release any and all rights, claims, or causes of action that I (or my minor child or children, as applicable) now or may in the future have against the Buffalo Gap Volunteer Fire Department Pumper Truck Fundraiser organizers and their respective members, officers, directors, agents, representatives and volunteers and any other individual or entity associated with the Buffalo Gap Volunteer Fire Department Pumper Truck Fundraiser in any manner or respect (hereafter referred to collectively as the “Organizers”), for any injuries, property damage or other damage suffered or incurred by me (or my minor child or children, as applicable) as a direct or indirect result of my (or my child or children) participation in the Buffalo Gap Volunteer Fire Department Pumper Truck Fundraiser, and for the same consideration I agree to hold harmless and indemnity the Organizers of and from any claims or causes of action hereafter asserted against any of the organizers as a direct or indirect result of my (or my child or children) participation in the Buffalo Gap Volunteer Fire Department Pumper Truck Fundraiser.  I and on behalf of my minor child (or children) consent to use any photographs or other promotional record of this event for any legitimate reason.   THIS WAIVER, RELEASE, AND INDEMNITY AGREEMENT INCLUDES, WITHOUT LIMITATION, CLAIMS OR CAUSES OF ACTION RESULTING FROM, OR ALLEGED TO RESULT FROM, THE NEGLIGENCE, GROSS NEGLIGENCE, MALICE, OR INTENTIONAL WRONGFUL ACTS OR OMISSIONS OF ANY OF THE ORGANIZERS. 

Sign name to indicate you have read and agree to all terms of the event waiver:

*Signature Name:  ____________________________

 

*Date of waiver signed:  ____________________

(If the date not entered, the effective date will be the date of the event)





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Buffalo Gap Volunteer Fire Department
709 Litel St.
Buffalo Gap, TX 79508
Emergency Dial 911
Non-Emergency: 325-572-4366
E-mail: info@buffalogapvfd.com
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