Participant Name *

First Name

Last Name

Phone *

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Terms & Policy Agreement *

I, the undersigned, agree that I am voluntarily participating in Fort Stanton LIVE!. I will conduct myself in an honest and respectful manner and will follow any rules/directives established by the organizing body; Fort Stanton Inc. and the site manager at Fort Stanton Historic Site. I understand that I may be removed from participating in this event and possibly future events for not following said rules/directives, or for being unruly, unlawful, unsafe or disruptive (as determined by the organizing and management body). I agree to allow New Mexico Historic Sites, Fort Stanton Inc. and their subsidiaries the right to utilize any photos taken of me at Fort Stanton LIVE! for promotion, sales or other uses. I will hold harmless, the State of New Mexico, Fort Stanton Inc. and all participants in Fort Stanton LIVE! for any damage to property, injuries or loss that I may incur while participating in Fort Stanton LIVE!

Yes

Emergency Contact Name *

First Name

Last Name

Emergency Contact Telephone Number *

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Name *

First Name

Last Name

Phone *

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