Gulf Coast Celtic Fling & Highland Games

Saturday, February 19th, 2005

Athletic Events Official Entry Form

Please submit completed entry form and signed release postmarked no later than February 1, 2005 to:

Joseph Mac Lennan, Athletic Chairman

1000 Michigan Blvd. Dunedin, FL 34698

Highland Dress is Mandatory

for all Athletic Events

All athletic competitors must sign the release form below:

"A" Division / "B" Division / "C" Division

I certify that I am physically fit and fully able to perform the various activities involved in the Highland Games Events during the Gulf Coast Celtic Fling.

I hereby, for myself (my child), my heirs, executors and administrators, waive and release any and all rights and claims that I (my child) may have to damages against the Gulf Coast Celtic Fling and Highland Games, Inc., its agents, representatives, trustees, and officers, and the City of Bradenton, and County of Manatee, its agents, representatives, trustees, and officers, and employees from any injuries which I (my child) may suffer during the Gulf Coast Celtic Fling and Highland Games.

Signature of:

Competitor:  _________________________________________________    Date: _______________

Signature of Parent

(if applicable) _________________________________________________   Date:  _______________

____________  Yes, I will be present at the Demonstration (3/16/03 (Sunday)