Festa Italiana Bolla Grape Stomp
Application & Waiver Release

I, the undersigned, attest and verify that I am physically fit and have full knowledge of the risks involved.  I have read the entry information and rules and certify by my signature my compliance.  I hereby release Festa Italiana, Seattle Center, the City of Seattle and any and all individuals or companies associated with the event from responsibility for any injuries or damages I may suffer as a result of my participation in the Bolla Grape Stomp.

Team Name: ____________________ Phone: ________________

Business Affiliation or Sponsor: _________________________

TEAM MEMBERS

Player #1 Name: ____________________ 
Phone: ________________
Address: _______________________________________________
Emerg. Contact: ____________________ Emerg. Phone: ________________
Tee Shirt Size: __________

Signature: ______________________________________________

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Player #2 Name: ____________________ 
Phone: ________________
Address: _______________________________________________
Emerg. Contact: ____________________ Emerg. Phone: ________________
Tee Shirt Size: __________

Signature: ______________________________________________

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Player #3 Name: ____________________ 
Phone: ________________
Address: _______________________________________________
Emerg. Contact: ____________________ Emerg. Phone: ________________
Tee Shirt Size: __________

Signature: ______________________________________________

*

     Return this completed application (including signature from each team member for release) and a $18 entry fee to:

Festa Italiana
Bolla Grape Stomp
P.O. Box 9549
Seattle, WA  98109

     Teams will be entered on a first-come, first-served basis upon receipt of completed application and entry fee.

Good Luck and May The Best Feet Win!