2017 BTO Registration Form
*please scroll down to fully complete the form!
First Name
Your answer
Last Name
Your answer
Address
Your answer
City
Your answer
State (please use just 2 letter abbreviation - i.e. AK)
Your answer
Zip
Your answer
Phone
Please format with dashes (i.e 907-586-5555)
Your answer
Email
Your answer
Are you a cancer survivor?
Shirt Size
Race Type
If you are running the 5k, what is your age as of 7/1/17?
Your answer
Payment Method
WAIVER AND RELEASE: I know that running and volunteering to work in club races are potentially hazardous activities. I should not enter and run in club activities unless I am medically able and properly trained. I agree to abide by any race official relative to my ability to safely complete the run. I assume all risks associated with running and volunteering to work in club races including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application for membership, I, for myself, and anyone entitled to act on my behalf, waive and release the Juneau Trail and Road Runners Club and all sponsors, their representatives and successors form all claims or liabilities of any kind arising out of my participation in these club activities even though liability may arise out of negligence or carelessness on the part of the person named in this waiver.
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