Bailiwick Stampede Registration
****PLEASE COMPLETE ONE ENTRY PER PERSON - UNLESS A MINOR!****

DATE: Sunday, October 3rd, 2021 from 9:00 AM - 11:00 AM

WHERE: Bailiwick Market and Cafe
441 Route 5, Elbridge, NY 13060

COST: $20.00 per person (includes a shirt and a pint of Hillcrest Dairy Chocolate Milk upon arrival)
First and Last Name *
Email *
Shirt Size *
Are any minors attending with you? If so, how many? Shirt Sizes?
I am aware and agree that I have to pay a $20.00 registration fee per person participating at the time of the event in cash. *
Waiver
Electronic Signature: Name *
Electronic Signature: Signature *
Electronic Signature: Date *
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Parent's signature if under 18 years of age
Submit
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