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Pack 465 Leaders
Cubmaster: Todd Ketcham
Committee Chair: Ted McCrobie
Treasurer: Adam Brandau
CUBMOBILE SIGNUP

Use this form to Register for the 2009 Pack 464/465 Cubmobile Race. If you have multiple Scouts, please register each Scout individually.

Scout's Name(s):
Pack:Rank:Parent's Name(s):
Your Email Address:
I volunteer to help:
I/We grant permission for the above named Scout to participate in the Pack 464/465 Cubmobile Race. I/We understand that participation in this event may involve a certain degree of risk. I/We have carefully considered the risk involved and give consent for the Cub Scout and family members named above to participate. I/We hereby release Cub Scout Pack 464, Cub Scout Pack 465, the registered adult leaders of each Pack, the Atlanta Area Council of the Boy Scouts of America, Hickory Flat United Methodist Church, and the owners of the property on which the event is held from all liability, claims, demands, injury, losses, or damages incurred in association with this event, and I/we further agree that if, despite this release, I or anyone on my behalf makes a claim against any of the above named parties, I will indemnify, save, and hold harmless each of the above named parties from any litigation expenses, attorney fees, loss, liability, damage, or cost which may be incurred as a result of such claim. I am the parent and/or legal guardian of each minor named above.
By clicking Submit, you indicate your agreement with the statement above.

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