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City of Belleview Youth Fishing Derby - Registration/Release & Waiver Form
Saturday, April 1st by Lake Lillian8:30 am Registration
9:00 am Fishing Derby
12:00 pm Awards & Free Community Cookout sponsored by the Belleview Police Department
The undersigned hereby releases the City of Belleview, its officials, volunteers, and employees from any and all liabilities, claims, demands, actions, and causes of actions whatsoever arising out of or relating to any loss, damage, or injury and including death, which may be sustained by the undersigned or of any property of the undersigned while engaged in the activities of the Belleview Youth Fishing Derby at Lake Lillian in Belleview, Florida.
This release and waiver shall be binding upon distributes, heirs, next of kin, executors, and administrators of the undersigned. In signing the foregoing release and waiver; the undersigned hereby acknowledges and represents:
In Witness Whereof, the undersigned has hereunto set his or her hand and seal this day.
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