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Montgomery Trip Registration Form
Fayette County Community Remembrance Coalition (FCCRC)

 

Join us Saturday, October 8, 2022, for a tour bus ride to The Legacy Museum and Peace & Justice Memorial, located in Montgomery, Alabama. For more details about the museum and memorial visit: https://museumandmemorial.eji.org/

Payment deadline: September 16th.

WAIVER FOR PARTICIPANT

The participant or guardian acknowledge that participation is voluntary and agrees to waive and release any and all rights and claim for damages against the Fayette County Community Remembrance Coalition (FCCRC) and all sponsors and members of the same, for any claim arising out of any injury or damages to myself/child. By signing this release, I/the guardian consent to such participation and also verify that adequate medical insurance is in effect during this period. In the event of an emergency and I cannot be reached, I give permission for authorities of FCCRC to seek immediate medical attention for myself/my child. I hereby consent to the use and reproduction of any and all photographs and/or video clips taken of me/my child in any form whatsoever for use in the FCCRC newsletter, brochures, flyers, web sites, social media and in any other publications produced for Fayette County Community Remembrance Coalition. Consent is also granted for any use of my name/child’s name in any part of those publications listed above. I have read this document and am fully aware of the contents and limitations, legal and otherwise.

All fees are payable in advance to FCCRC. A person is considered registered when a payment is accompanied with this registration form. 

Participant acknowledges all information provided is correct and accepts our cancellation and refund policy.

FCCRC REFUND POLICY

  • A 50% refund will be issued for anyone with a positive COVID test result.
This form must be completed in its entirety by an adult, 18 years and older.
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