Road Race Registration Form

The 11th Annual Race 4 Sundaes June 25, 2022
Race Date: Saturday, June 25th, 2022

Event Schedule:

7:45-8:15 am Registration/Sign-In (Church Annex)

8:30 am 1-Mile Town Forest Trail Loop (Start/Finish @ School)

9:00 am 5K- Camel’s Hump Road (Start/Finish @ School)

9:45 am Ice Cream Sundaes, Raffle Prizes, and FUN (Church Annex)

Registration/Ice Cream/Celebration Location: Church Annex, 4910 Main Rd, Huntington, VT 05462

Parking Locations: Brewster-Pierce Memorial School, 120 School St, Huntington, VT 05462 OR The Huntington Recreation Field, 4930 Main Road, Huntington Center.
Participant/s Details:

Note: you can use this form to register multiple people;-)
Full Name or Names: LIST ALL PARTICIPANTS' NAMES IN THIS BLOCK

First Name/s Last Name/s
Email
example@example.com
Phone Number
*T-Shirt Ordering Ended Sunday, JUNE 12th*
T-Shirt Sizes: Select ALL that apply and OTHER to type in additional orders.

Youth XS Adult Small Youth Small Adult Medium Youth Medium Adult Large Adult X-Large Other
Suggested Donations & Payments Options

Give More. Give Less. Give Food.
Suggested Registration/Donation Gift Calculator:
prev next ( X )
1-Mile Town Forest Run/Hike w/ T-shirt Please select if you wish to donate to NHN and purchase a $12 t-shirt (or t-shirts).
$ 22.00 Quantity

5K Camel's Hump Run/Walk w/ T-shirt Please select if you wish to donate to NHN and purchase a $12 t-shirt (or t-shirts).
$ 22.00 Quantity

1-Mile Town Forest Run/Hike Please select if you wish to donate to NHN.
$ 10.00 Quantity

5K Camel's Hump Road Run/Walk Please select if you wish to donate to NHN.
$ 10.00 Quantity

Food Donation Pledge Please select if you wish to donate food for Huntington's Little Free Pantry.
Free

Family Donation Select the family option if you have two or more people joining you for the event. Note, this does not include t-shirt costs. To add t-shirts to your order, add $12/t-shirt.
$ 15.00 Quantity

Total

$ 0.00
Payment Options: Check, Cash, PayPal (Note: You will be redirected to the Race4Sundaes PayPal Gift Page after you submit this form;-)
Waiver & Release
Race 4 Sundaes Waiver

I know that running a road/trail race is a potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained to perform this event. I assume all risks associated with running/hiking/walking in this event (i.e., falls, high heat and/or humidity; freezing cold temperatures; traffic and the conditions of the road including surrounding terrain). Having read this waiver and knowing these facts, I waive and release the Huntington, Vermont, Race 4 Sundaes, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. I grant permission to use my photographs, motion pictures, recordings, or any other record of this event for any legitimate purposes. (Adapted from Road Runners Club of America)
Participant's Signature

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Date Signed

Month Day Year
Date
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The 11th Annual Race 4 Sundaes June 25, 2022

Participant/s Details:

*T-Shirt Ordering Ended Sunday, JUNE 12th*

Suggested Donations & Payments Options

Waiver & Release

T-Shirt Ordering Ended Sunday, JUNE 12th