Goddessfest 2009 Registration Form
(You must fill out one for each adult attending.)
Legal Name: ______________________________________________________________________
_________________________________________________________________________________
Street Address: ___________________________________________________________________
City: ______________________________________ State: _______________ Zip: _____________
Phone(s), including area code(s): ____________________________________________________
Email: __________________________________________________________________________
Full name and ages of any children attending: ______________________________________________
__________________________________________________________________________________
___________________________________________________________________
Do you, your partner, or your children have any medical conditions we should be aware of? :
________________________________________________________________________________
Emergency contact (Do not put down your partner as an emergency contact if they are attending) :
Name:__________________________________Relationship:______________________________
Phone number(s) including area codes: ________________________________________________
________________________________________________________________________________
Do you have any special needs while attending Goddessfest 2009? _______________________________
Goddessfest 2009 is an outdoor event with primitive camping. As with any outdoor event, no assurances
of safety can be made. I (print), ________________________, understand that many activities are physically
strenuous and I will not participate unless I am medically able to do so. I agree that I am responsible for
my own actions. I agree that I assume all risk associated with this event. Having read the rules and
regulations associated with this event, I understand that I am legally responsible for my own actions. I
(print),__________________________, being in total agreement with the rules for myself and anyone legally
entitled to act on my behalf, waive and release Cats Lair Temple, its Board of Directors, its Members, and
all sponsors and their officers from any claims and liabilities of any kind from my participation in this event.
____________________________ _____________/________/_2009
Signature Date
Goddessfest 2009
Legal Waiver Form for Children 18 and Under
(You must fill out one for each child attending.)
Goddessfest 2009 is an outdoor event with primitive camping. As with any outdoor event, no assurances
of safety can be made.
I (print), ________________________, the parent or guardian of (print child’s name),
__________________________ , understand that many activities are physically strenuous and the
aforementioned child will not participate unless medically able to do so. I agree that I assume all risk
associated with this event for the aforementioned child.
Having read the rules and regulations associated with this event, I understand that I am legally
responsible for the aforementioned child. I (print), ______________________________, being in total
agreement with the rules for myself and anyone legally entitled to act on my behalf, waive and release
Cats Lair Temple, its Board of Directors, its Members, and all sponsors and their officers from any claims
and liabilities of any kind from (print child’s name): _______________________participation in this event.
Please make all money orders payable to Cats Lair Temple. A receipt and confirmation number will be
mailed back to you for your records.
Please mail these form(s) and all monies
(money order only NO CASH) to:
Cats Lair Temple
P.O.Box 296
Simpsonville SC 29681
Any questions please call:
Lady Eventide 864-328-9232/ Bob Null 864-862-3102/ Helen Cole 864-274-8555 (No Collect Calls)
Email to: ladytwilightdancer@yahoo.com, maxnbob2001@yahoo.com or snowshoehare@earthlink.net
Thank you from The Board of Directors and the members of Cats Lair Temple