Moose River Hustle Event registration
Event Timing: May 11, 2019
Event Address: Sterling Senior Center
34453 Sterling Highway
Contact us at: 262-1721 or 252-2959

Registration 8:30 - 9:45. Race Begins 10 am

Entry Fees: May be paid online on the event post, or may be paid the day of the race.
$10 Youth (under 18)
$20 Adults
$50 Immediate Family

A REGISTRATION FORM IS REQUIRED FOR EACH PERSON PARTICIPATING

Name *
Your answer
Phone Number
Your answer
Email
Your answer
Mailing Address
Your answer
Run/Walk Race *
Age *
Please Select
Release of liability: I know and understand that running/walking in a road race is a potentially hazardous activity. I represent that I am medically able and properly trained to participate in this event. I assume all risks associated with this event including, but not limited to heat exhaustion, falls, contact with other participants, effects of weather, dangerous traffic conditions, etc. all such risk being known and recognized by me. I hereby agree, for myself, my heirs, assigns, personal representative, executors, and administrators, to waive, release and forever discharge the Sterling Senior Center and it's respective directors, officers and employees, volunteers, and any and all other sponsors, suppliers and any other personnel assisting or connected with this event, any claims, or demands therefore which I may have or which I hereafter to me arising out of injury to my person or my property incurred in connection and participation in the Moose River Hustle Run/Walk.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service