DCC Slug Run! Sept. 28, 2019
Location: Cedar Vale Events <https://www.cedarvaleevents.com/> 6486 S. Sconce Rd. Hubbard or 97032
Time: 9am - Packet pick-up/registration
10am - Race time
Email address *
Participant #1
Participant's First and Last Name: *
Your answer
Participant's Age on September 28, 2019: *
Your answer
Participant's Address:
Your answer
Participant's Email Address
Your answer
Choose your event: *
Participant's Gender: *
Shirt Size (included with registration except for children 5 and under) *
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
If participant is a minor, who is signing them up? (Name and relation)
Your answer
Cost and How to Pay:
Payment options:
1) In person at the run with a check, cash or card
2) Paypal www.paypal.com (use: info@driftcreek.org as the email address when asked)
3) Mail a check to Drift Creek Camp
PO Box 1110
Lincoln City, OR 97367

$35/person (ages 17 and older)
$20/person (ages 6-16)
Free (ages 5 and younger - shirt costs an additional $10)
$100 maximum/family
Waiver:
In consideration of being permitted to participate in the Drift Creek Camp Slug Run, I agree to assume all risks inherent in participation in such program, whether they are apparent to me or not. I certify that I am in good physical health and fit to participate. Nevertheless, I acknowledge that participation carries an inherent risk of injury to my person and damage to my property. I hereby waive and release, for myself and for my heirs and assigns, any and all claims, causes of action, or liabilities which may hereafter accrue against DCC, and its affiliates, their agents, employees, volunteers, officers, directors, successors and assigns, Cedar Vale Events, that may arise as a result of my participation in the DCC Slug Run, including any and all claims for personal injuries. Further, I hereby grant full permission to any and all of the foregoing to use any photographs, motion pictures, recordings, or any other record of these events for any legitimate purpose, including commercial advertising, without monetary payment to me. (This information is protected by the Privacy Act).
I have read and agree to the above waiver. *
Waiver for Minor:
This section to be read and signed by parent/legal guardian if Participant is a minor:
As the parent/legal guardian of the above-named Participant, I hereby waive and release on behalf of my child, any and all claims, and causes of action, or liabilities which may hereafter accrue against DCC and its affiliates, their agents, employees, volunteers, officers, directors, successors and assigns, Cedar Vale Events, and any and all sponsors, their representatives and successors, by reason of my child’s participation in said program, including any and all claims for personal injuries. In addition, I accept full responsibility for the care and supervision of my child during the above-described runs.
I have read and agree to the Waiver for Minor (if applicable).
If you are registering another participant, you may do so in the next section. If not, you may skip through the rest of the sections until you see the submit button. Thanks for signing up, and we look forward to seeing you!
If you have questions, please email trish.handrich@gmail.com or kelseyyoder@gmail.com
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