The Jingle Bell Jog 2024
Registration Fee: $25
Saturday, November 30th 2024
Registration at Louise Martin Park starts at 8:00AM, the race will start at 9:00AM.
Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
Date
Sex
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Emergency Contact
Name
Phone Number
T-Shirt Size
*
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XXL
Adult 3XL
Please select a size.
Event
*
5K
Fun Run
T-Shirt Price
*
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next
( X )
Youth Small - Adult XL
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Adult 2XL-3XL
$
27.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Race Waiver
In consideration of my participation in the 5K Run, I, the undersigned participant, hereby acknowledge and agree to the following:
*
I am fully aware of the risks involved in participating in a 5K Run and voluntarily assume all such risks.
I am physically fit and have no medical conditions that would prevent my participation in the 5K Run.
I agree to comply with all rules and regulations of the 5K Run.
I release, discharge, and hold harmless the organizers of the 5K Run, their officers, directors, employees, volunteers, sponsors, and any other persons or organizations associated with the 5K Run from any and all claims, damages, or injuries, including death, that may arise from my participation in the 5K Run or as a result of my use of any facilities or equipment provided by the 5K Run.
Signature
*
Date
*
/
Month
/
Day
Year
Date
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