Dash to Splash Family Fun 5k Registration Form

Dash to Splash Family Fun 5k Registration Form

June 20th Race Starts at 12:00PM. $15/person. Please make checks out to Kidder County Swimming Pool
Primary Contact Name

First NameLast Name
Primary Contact Email
example@example.com
Primary Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Participant Information
I acknowledge that I have voluntarily chosen to participate in the 5K Fun Run and understand that physical activity involves inherent risks, including but not limited to injury, illness, or accidents.

By signing below, I confirm that I have read and agree to follow the Kidder County Swimming Pools rules as posted online. I agree to comply with all event guidelines and instructions provided by organizers.

I hereby release and hold harmless the event organizers, volunteers, and associated parties from any and all liability arising from my participation in this event.
Typing my name below serves as my electronic signature.
Photo/Video Release: I grant permission for photos and videos of participants to be used in event materials and promotions.
Should be Empty: