Contestant's name *

First Name

Last Name

Guardian's Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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By checking the box below, you are acknowledging and agreeing to all Pigapalooza! rules and regulations as the contestant's guardian.Pigapalooza! reserves the right to reject any application. If your application is not accepted, your money will be refunded. Any photo’s taken of your team on site and your responses to this application become the property of the City of Mulberry and may be used for promotional purposes. Contestants agree to indemnify and hold the The City of Mulberry harmless from any and all claims made against the city including, without limitations, all costs, liabilities, judgments, expenses, damages, or reasonable attorney’s fees arising out of or in connection with (1) any structure erected by the contestant, (2) any apparatus, or personal property used by the contestant, (3) any act or omission to act of the contestant, its agents, invitees, participants, representatives, employees, servants, and agents and (4) any claims made on account or resulting from contestant’s participation in the contest. *

Yes, I agree as the contestant's guardian.