Old Settlers 5k Run & 2 Mile Walk
Saturday July 30, 2016


8:00am Race Day Registration and Pre-Registered packet pick-up.
8:50am Assemble to the Start Line
9:00am 5k Run and 2 Mile Walk begin

Awards to follow the race.

Make sure to pay for registration after you fill out this form: http://mkt.com/whatcomoldsettlers/race-registration

Please visit http://www.whatcomoldsettlers.com/event/5k-run-2-mile-fun-runwalk/ for more information about the race.

First Name *
Your answer
Last Name *
Your answer
Female/Male *
Address *
Your answer
City/State *
*Ferndale, WA
Your answer
Zipcode *
Your answer
Phone *
Your answer
Age *
Your answer
Run or Walk *
Age Group *
Pre-Registration before July 25th
Once you have filled out this form you will be directed to our online store to pay for registration.
T-Shirt Size
Adult Sizes Only
Method of Payment
Drop off entry at Everyday Fitness or Mail to: 6530 W. 39th Place Ferndale, WA 98248
What year did you begin residing in Whatcom County?
As a part of your race registration fee, you also will be registered in the Old Settlers registry of Whatcom County. ($3.00 value) If you live or were born in Whatcom County.
Your answer
Waiver
Participants must sign the following prior to the Old Settler’s Run or Walk. I assume all risks and hazards of the conduct of the program, recognizing the hazards attendant to any road running event. Realizing no insurance coverage is provided for participants. I will assume financial responsibility for any cost relating to accident/injury or damages. I do hereby release and hold harmless the Old Settler Association, the City of Ferndale, this program from any and all claims, injuries, damages, losses or suits, including attorney fees, arising out of or in connection with the program. I grant full permission to use any photographs taken during the event for future Old Settler’s Run informational or promotional use.

I have read this statement, and my signature below verifies my acceptance of these conditions.

Electronic Signature *
Please sign using this format. - //First Last
Your answer
Signature Date *
(parent/legal guardian, if under 18 years of age)
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Advancify LLC. Report Abuse - Terms of Service