Event Schedule:

When: July 2009
Where: To Be Announced
Time: To Be Announced
Our Proud Sponsors:
Schupps Landing 110 Navesink Ave. Highlands NJ
Full Name:
 
Street Address:
 
City:
 
State:
 (2 letter abbreviation only)  
Zip Code:
 
Tel. Number:
 
Cell. Number:
 
E-mail Address:
 
Fees & Funds:
Registration Fee: $75.00
(Includes: PWC Launch Fee, Lunch &
Commemorative T-shirt)

Raise $250 or more, and the entry fee is waived. Proceeds to benefit IMPACTNJ

 		  
Waiver:
(Required for riders)

By selecting this option I hereby release and hold harmless the sponsors, their officers, employees, IMPACT NJ and Making Waves for Autism, and all affiliated organizers of this event from any claim for damages of any nature whatsoever, whether or not apparent, resulting from or arising out of any claimed injury to myself or any other claim for damages that I may have. I have read the above release and hold harmless agreement, and fully understand it.