Brewing Company 5K Beer Run

Online Registration

6th Annual Michigan Brewing Company 5K Beer Run

Team Release Form

Print out and bring the signed waiver to pre-registration or to the race. You must have the form completed and turned in prior to event start.

Please printout the following Release Form and have each of your participating team members sign their agreement to the following. (Parent must sign if runner is under 18 years old)

TEAM RELEASE FORM

In consideration of my entry, I intend to be legally bound for my heirs, my administrators, my executors and myself, waiver, release and forever discharge any and all rights and claims which I may here after accrue to the sponsors and officials of the race, described in this entry for, the Village of Webberville, Ingham County or their respective officers, agents, representatives, successors and/or assigns, while participating in this event, traveling to or returning from this event.

Team Name: _____________________________________________________

Address: _______________________________________________________________

City: ____________________________ State: ____________ Zip: ______________

Team Captain Phone:___________________ Team Captain Email: ___________________

Team Member #1:	_________________________ PRINT NAME	_________________________ RELEASE SIGNATURE
Team Member #2:	_________________________ PRINT NAME	_________________________ RELEASE SIGNATURE
Team Member #3:	_________________________ PRINT NAME	_________________________ RELEASE SIGNATURE
Team Member #4:	_________________________ PRINT NAME	_________________________ RELEASE SIGNATURE
Team Member #5:	_________________________ PRINT NAME	_________________________ RELEASE SIGNATURE
Team Member #6:	_________________________ PRINT NAME	_________________________ RELEASE SIGNATURE

Print out and bring the signed waiver to pre-registration or to the race. You must have the form completed and turned in prior to event start.