Auto Release of Liability Waiver
Description
Auto Release of Liability Waiver document sample
Document Sample


Waiver of Liability Ver10.1
As a condition for participating in this orienteering event on _____________ I hereby release the Delaware Valley Orienteering Association (DVOA)
and each of it's officers and members and others who have planned or participated in this event, from liability for any personal injury or property
damage that may occur to me or any member of my group as a result of our participation at this meet, whether caused by negligence or otherwise,
and I hereby idemnify DVOA it's officers and members and any other organization or authorities sponsoring the event from any liability for injury
or other damage or other expense caused by myself or any other member of my group.
Map #Last Name Sex A-grp DOB age
First Name * Auto license Signature
14 Acuff Tracy F 40 blue Honda CRV QOC0026
1 Acuff-Passi Kaija F 16 blue Honda CRV QOC0026
244 Acuff-Passi Caleb M 12 * blue Honda CRV QOC0026
2 Adams Mike M 21 * black Nissan FBY1975
9 Ahern Mike M 50 * red Toyota
8 Ahlswede Karl M 45 1961 49
25 Ahlswede Greg M 18 1990 20
210 Ahlswede Sandy F 35
78 Allaband Billy M 45
86 Allan Joel M 35
99 Allen Kathy F 35
39 Aronson Steve M 50 1959 51 Ford PU YBG3639
5 Babushok Nick M 21 *
71 Babushok Dasha F 21 1977 33 * White Saturn
106 Backlev Ury M 45 Toyota TOPMOR
17 Balter Gregory M 45 *
26 Barker Dan M 50 Ford Focus
28 Barker Zach M 14 Ford Focus
10 Barron Ron M 55 Subaru
4 Bartges Chris M 40 *
18 Bartow Heather F 16
19 Berezovski Eugene M 16
253 Bergeron Eddie M 35
16 Bertram Mike M 60 1949 61 Subaru WR41066
40 Billingslea Sierra F 10
3 Bollineni Udaya M 35
11 Bond Art M 45 1963 47 * Mitsubishi
30 Borovickoa Mike M 60 Toyota Highlander RC613
165 Bortz Ron M 55 1951 59
158 Bracken Colleen F 40
76 Browne Jim M 80 1926 84 white Toyota GVV3838
45 Burg Bob M 60 1946 64 Blue Focus NVD 52L NJ
127 Burton Pat F 55
256 Burton Bob M 40
53 Burton Amanda F 20
59 Burton Bobby M 20
15 Campbell John M 50 1957 53 green Accord DPY 1719
23 Campbell Alison F 18 1991 19
88 Campbell Shane M 21 *
188 Campbell Heather F 14
75 Chambers Tom M 55
80 Chang Brian M 18 *
13 Chen Linda F 55 *
130 Cook Ron M 50 1958 52 red Honda
6 Cornish Hunter M 21 1988 22 *
20 Cornish Mark M 50 1956 54
81 Cornish Susan F 18 1991 19 *
32 Cramer David M 45 * blue Celica
12 Crompton Chase M 16 *
27 Crompton Rick M 40 *
24 Darrah Dave M 65 1945 65 tan Jeep DLF6036
65 Davis Gregg M 35 *
33 De Wolf Michael M 16 *
55 DeWolf John M 50 1959 51 black Subaru OMAPS
260 Dolinger Neil M 45 1963 47 green Toyota
34 Dreyfus Bob M 65 *
63 Dyson AlexanderM 50
31 Eagleton Jim M 55 1954 56 Silver Nissan GTV6186
41 Ebright Richard YM 16 *
43 Ebright Richard HM 50
47 Ebright Katherine F 16 *
181 Engard Susan F 50
196 Fedorov Sergei M 21
29 Fillebrown Sandy F 55 1954 56 GSY3781
Silver Subaru Impreza
73 Fink Carol F 55 gold Honda CRV DCP-7350
149 Fink Bob M 55 1950 60 green Honda Civic GXP8043
109 Forbes Michael M 60 Honda DMB
252 Forbes Michael JrM 35
49 Forsberg Martin M 21
7 Frank Michelle F 10
36 Frank Mark M 50 1956 54 blue Envoy GGS8753
37 Frank Robert M 16 1993 17
38 Frank Mary F 50 1959 51 red Volvo DVOA 7
248 Freedland Brent M 21 1981 29 * Subaru outback
261 Freudenrich Douglas M 40
52 Frolenko Svetlana F 35
62 Frolenko Nickolay M 40
66 Frolenko Eugene M 16
64 Frolenko Victor M 10
50 Frysinger Howard M 55 1953 57 *
58 Frysinger Eric M 18 *
84 Geist Larry M 55 1951 59 green-grey Toyota WR6900P
92 Geist Kathleen F 55 1954 56 gold Subaru ForesterWR19556
35 Getz Steven M 45 1964 46 F150 Railroad
51 Gilpatrick Tim M 45 * Ford Van
82 Gnatiouk Sergiy M 40 *
135 Green Andy M 40 *
258 Green Karl M 12 *
44 Gross Bob M 50 1956 54
172 Gross Chris M 21 1982 28 *
91 Gulevsky Sergey M 10
83 Hall Randy M 40 1965 45
111 Hand Chris M 40
138 Hanlon Jeff M 40 *
56 Harder Brenda F 70 1939 71 Toyota DGV2631
103 Harford Sue F 50
142 Hartley Roger M 60 Ford Tarus FRA0798
192 Hartline Bev F 55
268 Hartline Fred M 60
46 Hartman Sara F 14 *
143 Hartman Petr M 45 Nissan Sentra DME6425
96 Helliar StephanieF 45 *
169 Hellier Jacob M 16 *
242 Hellier Brandon M 12 *
262 Hellier David M 45 *
203 Hilliker Joby M 21
48 Hogle Francis M 65 1944 66 * beige Buick QOC0003
85 Hollowell Tom M 45 *
265 Hubner Bob M 60
119 Johnson Diane F 45
125 Kalicki John M 45
113 Keim Julie F 21 Subaru forester EZE 2120
145 Keim Pat F 55 Subaru DBV7507
146 Kern Mark M 60 Ford Ranger YHH9194
159 Kim Rager F 40
204 Kluchinski Carol F 45 silver Sienna
205 Kluchinski Don M 40 *
160 Kluchinski Catherine F 10
243 Knarr Anthony M 14
161 Kocher Gary M 60
162 Kohler Ken M 65
148 Kohn Merle M 70
163 Komoroski Brian M 21
152 Kruesi Fred M 55 1952 58
266 Lape Harvey M 60
179 Lingg Tory F 65 1943 67 orange Buick ARC9990
269 Ludwig John M 60 *
105 Lynch Thomas M *
117 MacMullan IIIHugh M 70 1939 71
115 MacMullan IVHugh M 40 1967 43
54 Maglaty Joseph M 50 1955 55 * blue Toyota Corolla
144 Marcus Carl M 65
61 Martin Roger M 65 1944 66 tan
67 Masalkov Vadim M 40 1969 41
57 Mavus Ron M 50 1956 54 *
153 McCane K.I. M 55 *
164 McCane Kim M 55
209 McGoldrick Meg F 50
70 McGrath Clem M 35 1974 36 * White Saturn
94 Metzger Michael M 45 1962 48 * Lincoln Continental KKP89Y NJ
72 Meyer Bob M 55 1954 56 silver Saturn DZX2396
166 Meyer Valerie F 50
114 Miller Daniel C M 16 *
121 Miller Francis L M 55 *
129 Miraski Ken M 55 1952 58
123 Mitchell Rebecca F 45 *
126 Mones Steven M 50
176 Mongin Louis M 21
137 Nagy Istvan M 50 1960 50 *
183 Nealley Alison F 16
184 Nealley Peter M 45
254 Neely Jonathon M 35
128 Ohrwaschel Steve M 45
139 Ohrwaschel Dylan M 12 *
246 Ohrwaschel Nathan M 16
68 Olsen Guy M 50
77 Ort John T M 60 1948 62 silver Subaru
79 Ort Karen F 55 1952 58
87 Overbaugh Tom M 45 1960 50 Landrover Freelander.
187 Parson Dale M 55 1954 56 blue Hyundai DVE 9257
264 Pater Frank M 60 *
89 Pelle Kim M 50 1959 51 *
157 Pennington Shelley F 45 *
185 Perkiss Abigale F 21
267 Peterson Carl M 65
186 Peterson Dory F 45
107 Pizziketti Cindy F 45 *
154 Plunkett Rich M 60
155 Plunkett Mary F 55
21 Porter Janet F 55 1953 57 Aerostar van
60 Porter Corinne F 21 1984 26 Black Neon FGH0032
110 Porter Dennis M 50 1956 54 Ford Truck
90 Puzo Jim M 45 Corolla DRD3023
95 Rayburn Jim M 45 1961 49 *
42 Reed Bailey F 12 ETT4721
216 Reed Fred M 50 Prius
247 Reed Sam M 18 Prius
97 Revesz Andras M 45 *
93 Riley Wyatt M 35 1973 37
98 Riley Angelica F 40 1970 40
239 Riley AJ M 10
189 Riley Oriana F 8
100 Ringo Caroline F 80 1927 83 silver Toyota DVOA NJ
101 Ringo Kent M 90 1918 92 silver Mitsubishi DVOA NJ
190 Robinson Charles M 50
108 Rycharski Bob M 50 1957 53 WPS-27F NJ
Silver Saturn, Aura
102 Samans Deborah F 55 1952 58 silver Honda DCR 3299
134 Scaringi Mary F 45 *
167 Scaringi Mike M 50 * white Chevey Van EJL5792
245 Scaringi Dylan M 14 *
104 Scott Ed M 65 1945 65 silver Honda WR77702
220 Scott Judy F 60 1947 63 blue Jeep Cherokee Otter Plate
194 Sevon Doug M 45
191 Shannon Bill M 70 1939 71 * white Toyota KVZ 78X
234 Shannon Kerry F 21 *
150 Sharon Izhar M 21 *
69 Sharp Nancy F 50 1956 54
74 Shaw Kent M 60 1948 62 gray Audi A3 EYX222
173 Siegler Sharon F 60 green ERF8938
259 Simkiss John M 40 *
219 Singley Nikki F 14 1995 15 * maroon Van
223 Singley Dylan M 16 1993 17
198 Siple Sam M 60
199 Snyder Eva F 45
151 Specht Rich M 55
140 Starikovskiy Andrey M 45 *
120 Steere Chris M 35 1971 39 * green Toyota
141 Stoffers Blake M 45
22 Supplee Audra F 50 1956 54 Dodge Neon DLW7810
193 Supplee Brian M 50 1956 54 Ford Focus BRI-AUD
217 Swaren John M 50 1958 52 * Olds Bravado
122 Tencariu Florin M 21 *
170 Terefenko Donna F 55 1953 57 Durango
112 Thatcher Dayne M 18 1992 18
116 Thatcher Scott M 50 1959 51
168 Thatcher Corey M 16 1994 16 * tan Chevy Suburban DDN 3702
225 Thatcher Chase M 14 1996 14
147 Tolbert Ralph M 55 1953 57 white Cherokee BNT0728
171 Urban Dave M 60 Rav 4
174 Urban Kathy F 60
118 Walsh Tim M 60 1948 62
251 Wang Xin M 21 1982 28 * Nissan Maxima
124 Weyman Eric M 50 1956 54
132 Whiffen Rick M 60 1949 61
228 Whiffen Mary F 50 *
131 Wilkison Rob M 60 1950 60 red Dodge
133 Williams John M 70 1939 71 * silver Subaru GBB 3022
195 Wilshire Jay M 45 1961 49
136 Wood Ron M 65 1942 68 blue Sable UD 6565
175 Young Chris M 40 *
177 Zaharia Theo M 65 1942 68 *
180 Zakrevski Albina F 40
182 Zakrevski Yuri M 18
241 Zakrevski Peter M 10
200 Zaremba Joanna F 21
201 Zaremba Joseph M 21
197 Zeidman Bruce M 65 1942 68 * red Ford PU 28837
178 Zhyk Sergei M 21
238 Ziegler Derek M 21 *
231 Zimmer Jerry M 18 *
232 Zimmer Mitch M 50 * blue Expedition
233 Zimmer StephanieF 14 * blue Expedition
156 Zurawski Dennis M 60
202 Zurawski Kevin M 16
206 Zurawski, Jr Dennis M 40
Those with an [*] in this column will be removed from the list next year if they do not qualify for rankings.
Get documents about "