VASSAR'S LOG JOG 5K RUN!
SPONSORED BY 1 LIFE FITNESS AND YOUR VASSAR CHAMBER OF COMMERCE
Please Note:
- All entries non-refundable, non-transferable
- All registered entries will receive a complementary T-Shirt!
- Pre Regisration fee (prior to July 25) is $15 Adults, $8 Kids 13 and under
- Registration is $20 for both kids and adults after July 25 and on day of the run
- Packet Pickup and Day-of-Registration 6:00-7:45am
FIRST NAME *
Your answer
LAST NAME *
Your answer
Phone Number *
Your answer
Number of Adults *
Your answer
Number of Kids *
Ages 12 and Under, enter a zero if none
Your answer
Shirt Sizes *
Please note quantity for each size needed. Sizes available are: Adult S M L XL XXL, Youth S M L
Your answer
RELEASE OF LIABILITY
I know that rtuming a road race is a potentially dangerous activity. I should not enter and run unless I am medically able and properly trained. I agree to take personal responsibility for participating in this event and by my signature I certify that I am medically able to perform this event and am in good health. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I acknowledge all the risks associated with running in this event including, but not limited to, falls, contact with other participants, the effects of the weather including high heat and/or humidity, traffic, and road conditions. All such risks being known and accepted by myself having read this waiver and knowing these facts, l, for myself, for any minors for which I am responsible, and for everyone entitled to act on my behalf, waive and release The Vassar Chamber of Commerce, 1 Life Fitness, the City of Vassar, and all sponsors, their representatives and their successors from all claims or liabilities of any kind arising out of my participation in this event.

If I am a minor (under age 18); I cannot sign and have indicated that below, my legal parent/guardian will sign for me.

RELEASE *
Payment
Please mail or drop off payment by check or cash to the Vassar Chamber of Commerce. Please do not mail cash! Note: you are not registered until payment has been received.
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