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Event Name: Wildwood Lodge Great Pumpkin Chase

Activity: Pumpkin Chase 5K or 10K

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Email*  
First Name*  
Last Name*  
Address*  
Address  
City*  
State*  
Zip*  
Country  
Main Phone* (xxx-xxx-xxxx)
  (Please use - and not / between numbers)  
Alt Phone (xxx-xxx-xxxx)
  (Please use - and not / between numbers)  
Birthdate* (mm-dd-yy)
  (Please use - and not / between numbers)  
     
Gender*  

What is your age on race day?* 
 
Would you like to be contacted via email when we have a need for race volunteers? 
 Good Deal! Our volunteers receive a voucher for a free race. Friends/relatives may volunteer and earn a free race for you, too. 
Please check to indicate that you understand that this is a final sale. 
 Race fees are non refundable, not exchangeable, not transferrable. 
What size shirt would you like?*  
 
Will you be racing the 50K or 10K?*  
 


Event Terms and Conditions

*******RACE FEES ARE NON REFUNDABLE****** Knowingly and at my own risk I do hereby apply to enter an athletic contest. I hereby agree that I release and discharge Vacation Sports, and other parties associated with the Great Pumpkin Chase from all claims, demands, injuries, damages, actions or causes of action from all acts of active or passive negligence on the part of such corporations, organizations, clubs, their servants, agents or employees, and hereby assume all the risks associated with my participation in the event. Further, I hereby grant full permission to any and all of the foregoing to use my name, likeness and voice, as well as any photographs, videotape, motion pictures, recordings and any other record of this event in which I may appear for any legitimate purpose including broadcast of the event, the reuse in any media of this broadcast and in advertising and promotion.


I agree to the above event terms and conditions*

Enter your initials in the box below to signify your acceptance of the above event terms and conditions:

*

I am age 13 or older

I am the parent/guardian of the minor entrant




If you experience difficulty completing this form, and you have form auto-fill enabled, you may need to manually enter your information in each form field.


 


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