Dress in a unique way that show that no one YOU-RE than you!!
Date: May 20th, 2017
Location: Paynesville Area High School 795 West Highway 23 Paynesville, MN 56362
Time: 9 a.m. Race Time. Registration starts at 8 a.m., Closes at 8:45 a.m.
Entry Fee: $25.00/Racer
Proceeds Benefit: Ivy’s Legacy Foundation, CentraCare Birthing Unit, Trisomy 18
Payment: Cash, Check, or PayPal. Checks payable to Ivy’s Legacy Foundation
Contact: Miranda Thomes – email@example.com
560 Maywood Avenue Paynesville, MN 56362
Name: __________________________________ Age:_______
City, State, Zip:_________________________________________
T-Shirt Size (Circle One) SM M L XL Must be signed up by April 31st, 2016
Waiver of Liability: In consideration of your accepting this entry, I, the below signed, intending to be legally bound, for myself, my heirs, my executors and administrators, waive and release any all rights and claims for damages I may have against the race, and sponsors and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest that I will participate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event. Furthermore, I hereby grant full permission to use my name and likeliness, as well as any photographs and any record of this event in which I may appear of any legitimate purpose, including advertising and promotion.
No additional fee's at checkout