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RACE REGISTRATION FORM
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Please complete this form on-line, print, and mail or hand deliver to the addresses below. Not compatable with Navigator.
Families please submit all member on one form; all others should use individual entry forms.
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| Last Name: |
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| Address: |
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| Phone: |
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eMail:
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| Distance I/We Plan to Run: |
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ENTRANT/FAMILY INFO
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| First Name |
Age |
Date of Birth |
Gender |
T-Shirt |
Fee* |
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Entries after August 10th must include a late fee of $10.00 per person:
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Voluntary Donation:
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Total Amount Enclosed (non-refundable):
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*Your entry fee and any voluntary donations are tax deductible.
All entry fees go to The Child Development Center and The Shepherd's Hand Clinic.
Make your check payable to: Whitefish Friends & Family.
Mail entry to Whitefish Friends & Family, PO Box 4357, Whitefish MT 59937, postmarked by August 10th, 2009 or hand delivered to SPORT Center, 2006 Hospital Way, Whitefish, on or before that date.
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| In consideration of your acceptance of this race entry, for myself administrators and assignees forever waive, release and discharge any and all rights, demands, claims for damage and causes of suit or action known or unknown, that I may have against WFFFR (Whitefish Friends & Family Fun Run) and or all participating race sponsors and supporters and the directors, officers, employees and agencies of such parties for any and all injuries in any manner arising or resulting from any participation in any and all activities pertaining to this event. I attest and verify that I have full knowledge of the risks involved in the event, and I assume these risks and will pay my own medical and emergency expenses in the event of accident, illness or other capacity, regardless of whether I have authorized such expenses and that I am physically fit and sufficiently able to participate in any and all activities in this event. I also authorize WFFFR and their sponsors to utilize any photos of me or my minor child taken during the event for the purpose of promoting future runs, either in print advertisements or on a sponsors web site promoting the event. I understand that my demographic information may be utilized by WFFFR and their sponsors’ and that information on future runs and/or their newsletters my be sent to me. |
Signature:
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Date:
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Parent/Guardian Signature (if participant is under 18):
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| (Acknowledge that I have read the above waiver and I agree and accept all terms and conditions set forth therein) |
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After completing the form please print, using your browsers print command.
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