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Welcome to our credit card processing page. This form in ONLY for those wishing to pay via credit card. All other registrants should proceed to Race site and submit form. You can Register Multiple Teams on one transaction or Donate to a Team, be sure to include the details in the Comments box.

City of Race*

How did you hear of the race?*

Item  Qty  Price  Total
Team Entry Fee
Fast Foward Token
Souvenir T-Shirt
Souvenir Drawstring Backpack
General Donation
Service Fee ($2.00)
Grand Total
Team Entry Fee Cost
Fast Forward Token Cost
T-Shirt Cost
backpack Cost
Donation Amount
Grand Total:

Participants Names, Grades and Race of Choice (ex. John Smith-Gr7, Jane Smith-Adult = Competitive Race) and comments

Medical/Liability Waiver:    I, the parent or legal guardian of the individual listed on this form, certify that he/she has my full approval to participate in this activity and recognize that this is a voluntary enrichment activity and therefore, am solely responsible for me and my child's safety while traveling to, during and returning home from this activity.

Further, I do understand that all participants are expected to abide by the activity rules.  The director has the authority to require individuals to leave due to conduct and misappropriate behavior.  As a result, no refund is required.

Further, I do release and hereby agree to hold blameless activity sponsor, and its employees and agents from any and every claim arising, or which may be asserted by me or by any member of my family by reason of participating in any activities associated with the activity. I also release the lessor of properties on which the activity is held.

Further, I do authorize the sponsor of this activity in the event I cannot be reached by phone, to give consent to a physician and/or hospital for emergency medical or surgical treatment.  It is understood that I will assume any financial responsibility for any expense that may be incurred for said emergency treatment.

 Further, I do certify that said individual is covered by adequate accident insurance.  My consent and signature is given below.  I have read and agree to the information given in this entire form.

Further, I do authorize the activity sponsor to use my photographs and video footage shot at the activity for media and promotional purposes.

I have read, understood, and accept the Medical/Liability agreement. My submission of this form shall act as my legal signature.

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