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Event Name: Wildwood Lodge Great Pumpkin Chase

Activity: DOUBLE UP 10K AND 5K


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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*  

How old are you on raceday?* 
 
Please check to indicate that you understand your race fees are not transferrable and are non refundable.  
 Check your calendar carefully. This is a final sale. 
Please check if you would like to be emailed when we need volunteers throughout the year. 
 Great Deal! Our volunteers receive a certificate for a FREE race. A friend or relative can earn a free race for you, too! 
What size shirt would you like?*  
 


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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