Address:

                          City:

                        State:

                            Zip:

                       Phone:

                     E-Mail:

  Age On Race Day:

                    Gender:   Select One Female Male

             T-Shirt Size:   Select One Small Medium Large Extra Large

Liability Waiver

I give my permission to Eaton County Parks, its volunteers and representatives to obtain emergency medical treatment for me as they, with their discretion, deem necessary. Further, in consideration of Eaton County Parks making this event available to me, I for myself, and anyone claiming under or through me, hereby release and discharge Eaton County Parks, its volunteers and representatives from all liability, claims, demands and actions, regardless of kind of character, connected with, arising out of, or in any way participation in such activity.  I attest that I am 18 years of age or more and that I do not have a legal guardian.
 

          Agree To Waiver:   Select Yes

    Participant Signature:  

    Signature above must be signed by parent or guardian if under 18

 

Online Registration Is Now Closed