5K Tiger Fun Run & 1 Mile Kid Run - Registration Form

Which Event Are You Registering For: 5K or 1 Mile (Check One)

Please Select Your T-Shirt Size From This List: Medium Large Xtra Large

Gender: Male: or Female: (Please Check One)

Age:

Last Name:

First Name:

Address:

e-mail: (me@myisp.com)

City: State:

Zip Code: Phone:

Release: In consideration of my acceptance as a participant in this event, I, for myself and anyone entitled to act on my behalf, waive and release all event organizers and volunteers, Memorial Hospital, Los Banos Unified School District, the City of Los Banos and all its Municipalities and Sponsors from rights and claims for damages that I understand are associated with this event, which are included but not limited to; falls and scrapes, contact with other runners/walkers, effects of the weather including high temperature. I should not enter and run/walk unless I am medically able to do so. I agree to abide by all of the rules and regulations of this event as well as any decisions made by race officials regarding my participation. I grant permission for the organizers to use any photographs, quotes or videos of me for legitimate promotions of this event. I understand that all participants must line up at the starting area according to average pace times and that strollers must start in the rear and stay to the right.

X------------------------------------------------Date:----------------------

Print this page