Joe's Jingle Jog
Hometown Christmas 2022 | December 10, 2022 @ 2 pm | One contestant per form
Please enter a valid phone number.
Shirt Size (Guaranteed a shirt if signed up and paid for by November 13, 2022.)
Adult XXXL (+$10 Fee)
Who will be paying for your entry fee?
I will be paying for myself only.
I will be paying for myself and others.
Someone else has or will be paying for my entry fee.
My entry fee has or will be paid for by:
How would you like to pay?
Credit/Debit Card (Pay now.)
Cash/Check (You will be sent an invoice.)
Please list all of the contestants you will be paying for:
Payment (Please put the number of contestants you will be paying for in the appropriate boxes below. If you will be needing XXXL T-shirts, please put how many you will need
( X )
Joe's Jingle Jog 2022 (Ages 18 & Up)
Entrance for one adult to participate in Joe's Jingle Jog 2022 (for ages 18 and up).
Number of adults:
Joe's Jingle Jog 2022 (Ages 5-17)
Entrance for one child between the ages of 5 and 17 to participate in Joe's Jingle Jog 2022.
Number of children:
Joe's Jingle Jog 2022 (Ages 4 & below)
Entrance for one child at the ages of 4 and below to participate in Joe's Jingle Jog 2022.
Number of children:
Please put in the number of XXXL T-shirts you will need.
Number of XXXL T-shirts:
$20 for adults 18 & up, $10 for children between the ages of 5-17, and children aged 4 and below are free.
Please accept these terms by signing below:
I acknowledge that my participation in the Olton Hometown Christmas Joe’s Jingle Jog involves a risk of injury, including bodily injury, and assume the risk for same. On my own behalf and on behalf of my heirs and legal representatives and to the fullest extent permitted by law, I hereby release and discharge Olton Chamber of Commerce, officers, employees, affiliates, volunteers, members, agents and representatives, of and from any and all liability for injury, death, or damages and/or any other claims, demands, losses or damages, incurred by me in connection with any aspect of the 1 mile run and walk.
Signature of applicant's parent or guardian
Should be Empty: