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Event Registration

Event Name:   

Committed Man
Committed Woman
First Name:       Last Name:    First Name:       Last Name:   
Address::   

City:       State:       Zip:   

Contact Phone #:   

Mobile Phone #:   
The mobile phone number provided will be used for
the day of the event if we need to contact you!

Contact Email Address:   

If you are using a Never Let Go Gift Certificate, please enter the number below:

Never Let Go Gift Certifcate Number:

We authorize that the information on this form is correct, we are a commited couple, and both over the age of 21.

We agree that participation in Never Let Go events is voluntary. We accept full responsibility for participation in an event. We acknowledge that events sponsored by Never Let Go may involve risk of loss or damage of personal property and/or physical injury, including death. We agree to defend, indemnify, and hold harmless Never Let Go, its directors, officers, volunteers, drivers, sponsors, and their estate from any and all such damage, injury, or death. We agree to sign additional waiver or hold harmless agreements as a precondition to participating in any Never Let Go events if requested by Never Let Go or a Never Let Go sponsor.

Once registration is submitted, you will receive an email to allow you to pay for the event through Paypal, a secure payment system.
Registration is not complete until payment is made.

By selecting Submit, you agree to the above statements.

  
113 McHenry Road, #141
Buffalo Grove, IL 60089-1796
Email: Info@NeverLetGo.Org

Phone: (847) 879-1170
Fax: (847) 879-1170
 
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