Step 1: Participants
Email address *
RELEASE AND WAIVER OF LIABILITY *
I understand that running a road race is a potentially hazardous activity that may result in serious physical injury or even death. I understand that participation is completely voluntary and I agree to assume all risks associated with my or my minor’s participation in this event. By registering below, I waive any and all claims for damages or liabilities of any kind arising out of my or my minor's participation in the Jingle Jog, including claims arising from carelessness or negligence on the part of the event’s organizers, sponsors or volunteers. The persons and entities protected by this waiver include but are not necessarily limited to the City Schools of Decatur, Winnona Park Elementary School, the Winnona Park PTA, sponsoring organizations, volunteers, and the directors, officers, employees, agents, representatives, and successors of any of the above.
Required
Parent/Guardian First Name *
If you are registering your children, enter your name here. All participating minors must be registered by a parent or legal guardian.
Your answer
Parent/Guardian Last Name *
Your answer
Participant 1 First Name *
Your answer
Participant 1 Last Name *
Your answer
Grade of Participant 1 *
(Select "none" for parents and other family members not enrolled at WP.)
Participant 2 First Name
Your answer
Participant 2 Last Name
Your answer
Grade of Participant 2
Participant 3 First Name
Your answer
Participant 3 Last Name
Your answer
Grade of Participant 3
Participant 4 First Name
Your answer
Participant 4 Last Name
Your answer
Grade of Participant 4
Participant 5 First Name
Your answer
Participant 5 Last Name
Your answer
Grade of Participant 5
Participant 6 First Name
Your answer
Participant 6 Last Name
Your answer
Grade of Participant 6
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy