Little Manchester Road Race Online Registration - 2017
Registration and waitlist are now closed.
Child's First Name *
Your answer
Child's Last Name *
Your answer
Medical conditions or Allergies
Your answer
Date of Birth *
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Gender *
T-Shirt Size *
T-Shirt Size *
Parent or Guardian Name *
Your answer
Address *
Your answer
Email *
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Cell Phone
Your answer
Emergency Contact *
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Emergency Phone # *
Your answer
School Attending *
Your answer
School Location ( Town ) *
Your answer
Waiver
I am the parent or legal guardian of the minor ("Participant") named above and agree that the Participant may participate in the Little Manchester Road Race. I know that running/walking could be a hazardous activity and that the participant should not run unless they are medically able and properly trained. I assume all risks for participant associated with running/walking, including but not limited to falls, contact with other participants, the effects of the weather, traffic and conditions of the road and trails, 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, hereby waive and release the Manchester Road Race Committee, Henkle, Fleet Feet Sports, the Town of Manchester, the Manchester Board of Education, US Track & Field, and all sponsors, volunteers and providers of services to the race, their representatives and successors from all claims or liabilities of any kind arising out of my (or entrant’s) participation in this event even though the claim or liability may arise out of negligence or carelessness on the part of any person named in this waiver. I further authorize and empower the race director, if after a reasonable attempt has been made to reach a parent, guardian, or emergency contact to obtain consent, or if sound medical practice decrees that there is not time to make such an attempt, to consent to and authorize any medical care or treatment for the Participant than may appear reasonably necessary as a result of emergency, accident, or illness of the Participant whether occurring before, during, or after the event. I assume full responsibility for the cost of any treatment given.
Further, I grant full permission to the foregoing to include my child to be included in any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose, including commercial advertising without monetary payment to me.
waiver release *
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Do you as parent or legal guardian give permission to have your child's name published in our program? *
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