Hill Country Hustle 2025 Participant Registration

Hill Country Hustle 2025

REGISTRATION, WAIVER & CONSENT
If you have any questions, please get in touch with the lead organizer, Brian Bates at brian.d.bates@gmail.com

PARTICIPANT INFORMATION
Name*

First NameLast Name
Nickname
Birth Date*

MonthDayYear
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Is the participant less than 18 years old?*

YesNo
Which run option does participant choose?*

2 mile (through Willards Woods)10k (6-7 miles through South Lincoln)

PARENT / GUARDIAN INFORMATION
Please complete this section if participant is less than 18 years old
Parent or guardian name (1)

First NameLast Name
Parent or guardian name (2)

First NameLast Name
Cell #1 Number
Cell #2 Number
E-mail (1)
E-mail (2)

EMERGENCY & MEDICAL INFORMATION
Emergency Contact

If the parent / guardian cannot be reached.
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Medical Information
Is there any critical information, such as severe allergies, that organizers should know about participant?

WAIVERS & RELEASES
Participant Rules
Participants agree to the following:
 Follow the marked course at all times.
 Obey all course signage, cones, and markers indicating where to run, including on roads.
 Refrain from pushing, interfering with, or otherwise endangering other participants.
 Follow instructions from event staff, volunteers, and representatives at all times.

Acknowledgement of Risk and Waiver of Liability
I understand that participating in the Hill Country Hustle is a potentially hazardous activity. I
certify that I am medically able and sufficiently trained to participate in this event.
I acknowledge and assume full responsibility for any and all risks associated with my
participation, including but not limited to:
 Interaction with traffic on or near the course;
 Falls or physical contact with other participants;
 Conditions of the course, which may include but are not limited to: curbs, vehicles,
uneven pavement, potholes, rocks, and other hazards.
Knowing and fully appreciating these risks, and in consideration of acceptance of my entry, I
hereby, for myself and on behalf of my heirs, personal representatives, and assigns:
 Covenant not to sue, and fully waive, release, and discharge Lincoln Sports, its
officers, directors, volunteers, sponsors, and any other individuals or entities acting on its
behalf or associated with the Hill Country Hustle, from any and all claims or liability for
injury, death, or damage of any kind arising from my participation in this event.
This waiver and release extends to all claims of every kind or nature, whether foreseen or
unforeseen, known or unknown.
I also authorize emergency medical treatment in the event of injury or illness during the event.

Furthermore, I grant full permission to Lincoln Sports and/or its authorized representatives to use
my name, age, date of birth, finish placement, and finish time in public results, and to use any
photographs, videos, recordings, or other records of my participation in this event for any lawful
purpose, including promotional or marketing use.

By submitting this entry, I acknowledge that I have read, understood, and agreed to the above
Acknowledgement of Risk and Waiver of Liability. If the participant is under 18 years of age,
a parent or legal guardian must sign below.
I Agree

Yes
Name of Participant or Parent / Guardian*

First NameLast Name
Signature*

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VOLUNTEER!
We can use volunteers for this event! If you (or someone you know) are interested in helping, please fill out the below information and we will reach out to you. Leave this section blank if you aren't able to volunteer at this time.
Name
Contact Phone Number or Email
Please list any additional information about volunteering

VOLUNTARY DONATION TO LINCOLN SPORTS
DONATION
Lincoln Sports Inc. is a non-profit organization run by volunteer board members. We offer multiple programs to our community including free youth sports, summer camp, organizing the Hill Country Hustle, and providing facilities for sports and recreation. Our tennis court, which is freely open to the public, is in need of expensive repair including resurfacing. The Hill Country Hustle is a FREE event, but please consider making a donation for the tennis court. Thank you!

DONATION AMOUNT

USD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

CONFIRMATION
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date*

MonthDayYear
Date
Signature*

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Hill Country Hustle 2025

Please complete this section if participant is less than 18 years old

Emergency Contact

Medical Information

DONATION