Shanny's Run June 24, 2017
The registration fee for Shanny's Run is $25 per person payable on the day of the run.

Proceeds from Shanny's Run will go to the Shanny Foundation which will help the Runners of the Yamhill Carlton School District Track & Field and Cross Country Teams at YCHS and YCIS

For start times and a map of the route please visit https://www.facebook.com/Shannys-Run-June-25-2016-553953691448961/ as they will be posted closer to the date of the run

If you have difficulties with this form please email Laura Fugere daffy4x4girl@gmail.com or call her at 503-852-5550

Name
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Address
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Email
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Phone Number
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Do you wish to participate in the parade?
If participating in the parade would like to ride in float or walk?
Shanny's Run Release Form
Please submit the form then print the form to sign the release form below and sign it where indicated to bring it with you to sign up. This will expedite registration.


I__________________________________understand that my participation and/or involvement in Shanny's Run carries with it the potential for certain risks, some of which may not be reasonably foreseeable.

I further acknowledge that these risks could cause me, or others around me, harm, including but not limited to bodily injury, damage of property, emotional distress, or death.

I am willing to participate in Shanny's Run.

By signing this agreement, I agree to release, indemnity, and hold harmless Carlton Community Foundation and the City of Carlton as well as all it's employees, agents, successors, volunteers, etc. from all injuries, thefts, demands, losses, liabilities, causes of action or expenses, known or unknown, arising from my participation/attendance of Shanny's Run.

Printed Name Of Participant
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Participants Signature
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Parents Signature (For children under 18, this gives consent for minors to participate.
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Emergency Contact Name and Number
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Checked In By (For official use only)
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