2014 Tinker Bell
10K
Packet Pick-Up Authorization Form
_______________________
(Please Print Your Full Name)
_____________________
( Please Print Your Bib Number)
I have made every effort to pick up my own race packet, but am unable to do so.
I authorize:
________________________________________________________
(Print name of person you are authorizing to pick up your items.)
to pick up my Race Bib, Participant Shirt, gEAR Bag, and, if applicable,
my pre-purchased Commemorative Items.
I have provided my representative with:
1.
2.
A copy of my valid drivers license or photo identification card; and
My original signed event waiver (which I certify I personally signed);
and I further authorize my Representative to surrender such copy of my valid
drivers license or photo identification card and original signed event waiver to
Disney without further limitation, approval or consent. I understand that Disney is
relying on the foregoing authorizations and agree to indemnify and hold harmless
Disney for any damages associated with such authorizations and/or as a result of
Disney’s reliance on such authorizations to its detriment.
My Representative is aware that he/she must present their own valid photo ID in
order to pick up my race items.
_______________________________
(Signature of Race Participant)
______________________________
(Signature of Representative)
©Disney