Bucky's Turkey Trot Registration

November 22, 2012
Race Day Registration - 8:00 a.m.
10k Run - 9:00 a.m.
5k Run/Walk - 9:30 a.m.
Kids Race - 10 a.m.

Registration:
Race and t-shirt - $20 payable on race day
Kids Race and t-shirt - $10 payable on race day
Race and bib only - 5 non-perishable food items

First Name: *

Last Name: *

Gender: *

Male

Female

Age on Race Day: *

Birthdate: *

Address: *

City: *

State: *

ZIP Code: *

Phone:

E-mail Address:

Race: *

10k

Kids race

Shirt Type: *

Adult T-shirt ($20 registration)

Kids T-shirt ($10 registration)

Bib (Suggested - 3 non-perishable food items)

Disclaimer: *

I Agree

I know that running/walking a road race is a potentially hazardous activity. I have enrolled myself and/or my children in Bucky's Turkey Trot. I know, understand, and appreciate the nature of this activity, the discomforts, dangers, and the risks. I am in adequate physical, mental and medical condition to participate in this event. I fully know and understand that my participation and that of my children is voluntary and that I am free to discontinue at any time. I further agree to hold harmless Bucky's Turkey Trot, all agencies and sponsors of the event, and those whose property may be involved in the race. I have read this warning and agree to participate willingly. I understand that entry fees are non-refundable.

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