16th Year • Endicott College • Beverly • Massachusetts • USA

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Registration will be opening on Wednesday, February 29, 2012 @ 8:00pm EST.

Waiver

This waiver is part of the registration process (see the Registration Information). Each person will be required to sign one at check-in (you do not need to mail it in in advance).

If 17 years or younger, the waiver must be signed by a parent or legal guardian (see information on Under 18) and mailed with the other required information to:

Beantown Camp, 17 North Street, Hopkinton, MA 01748-1028, USA

Beantown Camp 2012
Beantown Competitions 2012
 Waiver

I hereby release and hold harmless Beantown Lindy Hop Summer Camp (Beantown Camp),
its directors, employees, agents, successors and assigns from any and all claims, causes of action,
suits or liability, costs and expenses (including, without limitation, reasonable attorneys’ fees)
arising out of, or in connection with, any loss, personal injury, death, or other damage
that I may incur or suffer by reason or as a result of my enrollment or participation in 
Beantown Camp 2012 or the Beantown Competitions 2012.

I understand that Beantown Camp may record my participation in this event and competition on
video or by photograph. I grant Beantown Camp unlimited use of any such recordings with no
obligation to me. Such recordings are the sole property of Beantown Camp.


Name (print)


Address (print)










Signature


Date

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