Bells on Basin Parade Entry Form

Bells on Basin Parade — HOLD HARMLESS AGREEMENT 

By submitting this form, on behalf of Ephrata Chamber of Commerce hereby accepts and assumes any and all risks, claims, actions and damages, direct or indirect,  which the undersigned may incur as the result of participation in an event or activity, which is sanctioned Ephrata Chamber of Commerce. I expressly agree that I will hold Ephrata Chamber of Commerce, Ephrata Chamber of Commerce Board of Directors, the Event Director, the City of Ephrata, Grant County and all of their respective officers, employees, agents, representatives, successors or assigns harmless, and otherwise indemnify the same, from and against any such risk, claim, action, or damage arising from my participation in any such event. It is my expressed intention that this disclaimer and hold harmless agreement is binding upon, my agents, representatives, heirs and assigns.