Talkeetna Brewfest Contact InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Phone*Email* AcknowledgementCancellation Policy: Tickets are non-refundable, except in the case that the event is cancelled. Tickets may be transferred to another individual with prior arrangement by contact Northern Susitna Institute prior to 5:00 pm on September 14, 2018.* I acknowledge that I have read and understand the cancellation policy for the Talkeetna Brewfest. Release of Liability: This waiver and release is for individuals who attend the Talkeetna Brewfest to be held at the Sheldon Community Arts Hangar in Talkeetna, Alaska. In consideration of being allowed to attend and participate in any way in the Talkeetna Brewfest and related activities, the undersigned acknowledges, appreciates and willingly agrees that: 1) I acknowledge and fully understand that participation in the Talkeetna Brewfest involves inherent risks including but not limited to: (a) Intoxication from the alcohol I consume; (b) The possibility of bodily injury including but not limited to broken bones, soft tissue damage, and damage caused by negligent acts of myself or others; (c) The risks associated with traveling to any destination after the event, especially the risks of operating a motor vehicle after consuming alcohol. I knowingly and freely assume all such risks, both known and unknown, even those arising from the negligent acts or omissions of myself or others, and assume all responsibility for my participation. 2) I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, and agree to save and hold harmless Northern Susitna Institute, Denali Arts Council, and Denali Brewing Company, its officials, employees, affiliates, assigns, vendors, brewers, other participants, sponsors, exhibitors, advertisers, the owner and lessors of the premises used to conduct the event, all of which are hereinafter referred to as "Releasees," with respect to all and any injuries, disability, death or loss or damage to person or property, whether arising from the negligence of the Releasees or otherwise, to the fullest extent permitted by law. I will indemnify, save and hold harmless the Releasees of, from and against any loss, cost, expense, damage or liability that such Releasees may incur as a result of, arising from or in connection with such claim, including without limitation any attorney's fees, or other costs or expenses of litigation. 3) I hereby authorize and give my full consent to Northern Susitna Institute to copyright and/or publish any and all photographs, video and/or broadcasts in which I appear while attending the Talkeetna Brewfest event. I further agree that Northern Susitna Institute may transfer, use or cause to be used, photographs, video, or broadcasts for any exhibitions, public displays, publications, commercials, online streaming, art and advertising purposes, and television programs without limitations or reservations. In the event that any court shall hold any provision of this Waiver & Release to be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby. I have read this Waiver & Release and assumption of risk agreement, fully understand its terms, and sign it freely and voluntarily.* I testify that I have read the Release of Liability and assumption of risk agreement, fully understand its terms, and sign below freely and voluntarily. Signature*PaymentTalkeetna Brewfest Ticket Fee*2:00 pm - 6:00 pm on Saturday, September 15, 2018 at Sheldon Community Arts Hangar in Talkeetna, AK. Price: $55.00 197 spaces remaining.Donation to the NSI scholarship fund (optional) Total Charges $0.00 After clicking the "Purchase" button, your browser will automatically direct to PayPal. Please be patient while the next page loads. Do not click the back button or click the register button more than once. Your registration is not guaranteed until full payment is received.