Harvest Festival – Grape Stomp Application & Waiver

Harvest Festival – Grape Stomp Application & Waiver
I, the undersigned, attest and verify that I am physically fit and have full knowledge of the risks involved in the 2026 Harvest Festival Grape Stomp Competition. I hereby expressly release the Clear Lake Area Chamber of Commerce, the City of Clear Lake, Iowa, Harvest Festival Committee, and any other individuals associated with the event from any and all responsibilities for any injuries, damages, suits, or actions of any sort that may arise out of or related to my participation in the Harvest Festival Grape Stomp.
Team Name
Phone
Format: (000) 000-0000.
Email
Team Members:
Player #1 Print Name

First NameLast Name
Player #1 Phone
Format: (000) 000-0000.
Player #1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Player #1 Emergency Contact
Player #1 Emergency Phone
Format: (000) 000-0000.
Player #1 Signature
Player #2 Print Name

First NameLast Name
Player #2 Phone
Format: (000) 000-0000.
Player #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Player #2 Emergency Contact
Player #2 Emergency Phone
Format: (000) 000-0000.
Player #2 Signature
Should be Empty: