Grandin Court Baptist Road & Trail Challenge 2018
Use this form to register for the Grandin Court Baptist Neighborhood Challenge on May 12th, 2018.
First Name *
Your answer
Middle Initial *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Age *
Your answer
Birthdate *
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DD
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YYYY
Sex *
Shirt Size *
Child Care Required: Fill this portion out if you need childcare on the day of the race
# of children and ages
Your answer
Waiver *
In consideration of being permitted to participate in the Grandin Court race, I do hereby for me, my heirs, executors, administrators, and assignees, release and forever discharge the sponsors and all those persons involved in organizing and manning this even from all claims, demands, loss, damage, actions, causes of actions or suits as long or inequity of whatsoever kind of nature arising out of my participation in the race on May 12th, 2018.
Photo Release for Minors *
I give permission to Grandin Court Baptist Church to photograph or video my child at the Road and Trail Challenge. I give permission to copyright, use, and publish the photographs/videos for any lawful purpose, including newspaper articles, church publications, and the church website. No names will be posted with images.
Signature *
Parent or Guardian Must Initial if Participant is under 18 years of age
Your answer
Payment Method *
Registration is not complete until payment is received. Adult registration: $20, Middle/High School Student Registration: $15, Elementary Student registration: $10. Family Pack (2 adults, 2 children, immediate family only): $50.
Which sponsor?
Your answer
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