KOSP Renewal

KOSP - Renewal & Waiver

This form is required yearly for everyone. Dues should be paid by September 1st. Founding Members who do not pay by September 1st forfeit their "Founding Member" status.
Please complete, sign (electronically), and submit the form below. This is required for all members, each year, by September 1st.
Today's Date

MonthDayYear
Date
Full Name*

PrefixFirst NameLast NameSuffix
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
Date of Birth*

MonthDayYear
Date
Krewe Committees On Which You're Interested in Serving (Please Choose at Least 1)*

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BY RENEWING, I AFFIRM:

I AGREE TO CONFORM TO THE BYLAWS, RULES, AND REGULATIONS OF THE ORGANIZATION, AND POLICIES AS FORMULATED BY THE BOARD OF DIRECTORS. IN ADDITION, I HEREBY ACKNOWLEDGE RECEIPT AND UNDERSTANDING OF THE AFOREMENTIONED CONDITIONS OF APPLICATION AND THE WAIVER OF LIABILITY.

WAIVER OF LIABILITY

In consideration of the acceptance of my participation in any “Krewe of St. Patrick” event, I the undersigned participant, intending to be legally bound, do hereby for myself, my heirs, executors, administrators and assigns, forever waiver, release and discharge any and all rights, claims, and actions for damages that I, we or any of us may have, or that may hereafter accrue to us or any of us, against any and all persons, organizations and entities associated with the event, including, but not limited to the “Krewe of St. Patrick”, the Board of Directors of the “Krewe of St. Patrick”, arising out of or in connection with my entry in, travel to, participation in, and return from the specified event. I will also abide by all laws, state, and federal during all official functions. I attest and verify that I am physically fit, in good health, suffer from no physical infirmities, and am fully able to participate in this/these event(s), including walking the entire parade route, if necessary. I understand that special accommodations cannot be made for injury, bodily harm, and/or property damage. I understand that traffic control will cease at the end of the parade route(s). I take all responsibility for any issue/damage/injury which may occur to my minor child/children that participate in these events. I also give my permission for the free use of my name and/or pictures in broadcasts, telecasts, newspapers, etc. I understand the “Krewe of St. Patrick” is not responsible for lost or stolen personal possessions.
Signature of Applicant*

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Use your mouse (PC/MAC) or finger (Android/iOS) to sign this document.
I affirm my receipt and acknowledge the conditions above and agree to the waiver of liability.*

Agree/Affirm
Should be Empty:

KOSP - Renewal & Waiver