4th Annual WPT Farm Games
Date: July 18, 2026 Time: 2:00 p.m. Location: 100 Wonsettler Rd, Scenery Hill, PA 15360
Name
*
First Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Contact Number
*
Format: (000) 000-0000.
Age on Event Date
*
Must be 12 or older to participate in the beginner or advanced course
Which course will you participate in?
Kids Course (Under 16)......................................................................................................$15
Beginner (about 1 mile long & 5 obstacles).....................................................................$50
Advanced (about 3 miles long & 10 obstacles)...............................................................$50
Payment
You can pay at the clinic before the event, over the phone by calling 724-200-7377, or on the day of the event using cash or card.
Shirt Size (Unisex)
Please Select
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Youth Small
Youth Medium
Youth Large
In Case of Emergency
Emergency Contact:
*
First Name
Last Name
Relationship
*
Contact Number
*
Format: (000) 000-0000.
Release and Waiver of Liability - Assumption of Risk and Indemnity Agreement
In consideration of my participation in Farm Games, I, the undersigned participant, hereby acknowledge and agree to the following:
*
I am fully aware of the risks involved in participating in Farm Games and voluntarily assume all such risks.
I am physically fit and have no medical conditions that would prevent my participation in Farm Games.
I agree to comply with all rules and regulations of Farm Games.
I release, discharge, and hold harmless the organizers of Farm Games, their officers, directors, employees, volunteers, sponsors, and any other persons or organizations associated with Farm Games from any and all claims, damages, or injuries, including death, that may arise from my participation in Farm Games or as a result of my use of any facilities or equipment provided by Farm Games.
Date
*
-
Month
-
Day
Year
Date
Signature
*
Submit Form
Submit Form
Should be Empty: