2019 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 7/1/19?
Your answer
Payment Method *
WAIVER AND RELEASE: I know that participating in a road or trail walk/race is a potentially hazardous activity. I should not enter and participate unless I am medically able and properly trained to complete the event. I agree to abide by any decision of an event official relative to my ability to safely complete this event within the designated time limit. I assume all risks associated with participating in this event, including, but not limited to falls, contact with other participants, runners, bikers, strollers, and animals, the effects of weather, including heat or cold and precipitation, traffic, and the conditions of the trails and roads, all such risks being known and appreciated by me. I understand that if I am pushing a baby jogger or stroller, I also accept the responsibility for injury up to death of child being transported in jogger/stroller. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I for myself and anyone for whom I am entitled to act, waive, release, and will hold harmless the race organizers, Cancer Connection, and all other sponsors and property owners, and all the agents, employees, officers, directors and volunteers working for those entities from all claims and liabilities of any kind arising out of or related to my participation in this race. *
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