Track and Field Run Registration
Register for the track and field run and acknowledge the event waiver.
Participant Information
Please provide your personal details.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Emergency Contact Information
Who should we contact in case of emergency?
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Participant
*
Please Select
Parent/Guardian
Sibling
Spouse
Friend
Other
Waiver and Release of Liability
*
By signing below, I acknowledge that I have read and agree to the waiver and release of liability for participating in the track and field run.
*
Register
Register
Participant Information
Please provide your personal details.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Will you have someone running with you to register as a buddy?
*
Yes
No
Date of Birth
*
-
Month
-
Day
Year
Date
Emergency Contact Information
Who should we contact in case of emergency?
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Participant
*
Please Select
Parent/Guardian
Sibling
Spouse
Friend
Other
Waiver and Release of Liability
*
By signing below, I acknowledge that I have read and agree to the waiver and release of liability for participating in the track and field run.
*
Buddy Registration
Please provide details for the participant supporting the applicant.
Buddy Full Name
*
First Name
Last Name
Buddy Email Address
*
example@example.com
Buddy Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Buddy Waiver and Release of Liability
*
Buddy Signature - I acknowledge that I have read and agree to the waiver and release of liability for supporting the applicant.
*
Register
Register
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