Bucky's Bling 6.0k Run 2026

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Please fill out this form for each participant. Fees can be paid through the link provided at the end of the Google Form. If you have questions, please contact Kirsten Olson at BUCKYSRUN@gmail.com

Email *

Participant #1 - Registration

Who are you registering? *

Myself

Someone else (This option is to register friends, family, or a guardian registering a child.)

Event

Cost is $35.00 (Adult) & $10.00 (Under the age of 18)

6.0k Run/Walk (3.72 miles) We are celebrating Addison Trail's 60th birthday with a special 6.0k distance

1600m Run

60-yard Kids Dash

First Name *

Last Name *

Date of Birth (MM/DD/YY) *

Gender *

Female

Male

Confirm Email Address *

Emergency Contact Name *

Emergency Contact Phone # (xxx) xxx-xxx *

Please indicate which role identifies you best. *

Future Blazer (Addison Youth Ages 0 -13)

Current Blazer (current Addison Trail student during the 2026-2027 school year)

Alumni Blazer (graduate or student of Addison Trail from 1967 - 2026)

Family member of a Blazer (non-Addison Youth, Spouse, Parent, etc.)

General Commuity Member

Current Faculty/Staff

Retired Faculty/Staff

Other

If you are an alumni, what year did you graduate? I am a proud member of the ATHS Class of ...(1967, 1968, ..., 2026) *

Did you participate in Addison Trail Cross Country while at Addison Trail? *

Yes

Does not apply to me

Do you have an interesting story, background, or reason as to why or how you are participating in this event that we can share with media outlets interested in writing about our participants? If yes, please share here.

T-shirt *

Unisex XS

Unisex S

Unisex M

Unisex L

Unisex XL

Unisex XXL

Unisex 3XL

Unisex 4XL

Youth Small (6-8)

Youth Medium (10-12)

Youth Large (14-16)

Youth XL (18-20)

Would you like more information on how to volunteer or donate funds to support this event and/or the Addison Trail Cross Country program? *

Yes

Event Details and Participation Waiver -

Please read this form carefully and be aware that in registering and participating in this event, you will be waiving and releasing all claims for injuries you might sustain arising out of the activities of this program.

As the parent/guardian of the participant, or participant in the Bucky's Run events, I recognize and acknowledge that there are certain risks of physical injuries, including death, damages or loss that might sustain as a result of participating in any and all activities connected with or associated with such an event.

I agree to waive and relinquish all claims I may have as a result of participating in the event against the School District, the Village of Addison, the Addison Park District and their elected officials, officers, agents, volunteers, servants and employees.

I do hereby fully release and discharge the School District, the Village of Addison, the Addison Park District and their elected officials, officers, agents, volunteers, servants and employees from any and all claims resulting from injuries, including death, damages and losses, sustained by me and arising out of, connected with, or in any way associated with the activities of the event.

In the case of any emergency, I authorize the School District, the Village of Addison and/or the Addison Park District to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for me (or my minor child’s) immediate care and agree that I will be responsible for payment of any and all medical services rendered.

I also understand photos will be taken during the event, and I agree to have my photo taken and shared publicly.

I agree to be familiar with and to abide by the Rules and Regulations established for the event, and any safety regulations established or communicated for the benefit of all participants. I accept sole responsibility for my own (or my minor child’s) conduct and actions while participating in the event.

I have read and fully understand the above Event Details and Participation agreement. I understand that I (or the Guardian, if I am under the age of 18) am of legal age and competent to enter into this Agreement.

I understand that putting my name and below serves as an electronic signature of approval for the statements as outlined in the participation waiver above.

PLEASE TYPE YOUR FULL NAME AND DATE BELOW.

Would you like to register another person now? *

Yes

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