Family Member One Name: First And Last Names
                                          Age:
                                    Gender:

   Family Member Two Name:
                                          Age:
                                    Gender:

Family Member Three Name:
                                          Age:
                                    Gender:

  Family Member Four Name:
                                          Age:
                                    Gender:

   Family Member Five Name:
                                          Age:
                                    Gender:

     Family Member Six Name:
                                          Age:
                                    Gender:

Family Member Seven Name:
                                          Age:
                                    Gender:

 Family Member Eight Name:
                                          Age:
                                    Gender:

Family Captain Phone:

Family Captain Email:

Please note: To participate in the event, each team or family member must provide a signed release agreeing to the terms of the following conditions.

I know that running a race is a potentially hazardous activity and that I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants and wildlife, the effects of the weather, including cold and/or rain or snow, traffic and the conditions of the road and path, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the organizers of the Cancer Survivor Celebration Day Walk - Run, City of Idaho Falls, Idaho, PERSONAL BEST Performance, and all other sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event or carelessness on the part of the persons named in this waiver. Further, I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes.

To Print Form Click Here

Waiver: Select Yes I understand that the release must be signed by each Family member and returned prior to participating in the Event.  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.

   
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