|
MAIL IN; Bear Foot Sports Running Race
REGISTRATION FORM
Please
make check payable to BFS and mail to:
Bear Foot Sports
20 Towne Drive - PMB #200
Bluffton, SC 29910 |
First
Name:___________________________ |
Last
Name:________________________ |
| Address:__________________________ |
Apt./Suite:_____________________ |
| City:_________________ |
State:______ |
Zip:___________ |
| Age:
(as of race date):_________ |
Male:____ Female:____ (Please check sex) |
Adult Shirt Size: (circle one) S M L XL
((XXL only add $3.00) |
Phone: ( ____)
_______________ |
| Please check one: [ ] Half Marathon - Feb race only [ ] 10K Run |
| Please check one: [ ] 5K Run [ ] Health Walk |
Check List
[ ] $30.00 Half Marathon Run
[ ] $30.00 Firecracker Run - includes performance t-shirt
[ ] $25.00 Entry Fee 10K Run/Walk
[ ] $25.00
Entry Fee 5K Run/Walk
[ ] $ 3.00 XXL Tee
[ ] $5.00 To Charity
[ ] $5.00 Late fee ( after deadline )
$ ______ Total Enclosed - Pre Registration Only |
In
consideration of your accepting me/my child's registration, I herby for myself,
my child, my heirs, executors and administrators waive and releave any and all
rights and claims for damages I or my child may have against Bear Foot Sports,
including all representatives who are in any way connected with this
event/program. Further, in the event of any injury, I do hereby give permission
and consent to authorize such First Aid and/or Medical and/or Hospital care or
treatment as deemed appropriate. In addition, I am fully aware of the
provisions covered by the fee for this event and I understand that if any
emergency arises, any and all additional expenses incurred must be borne or
assumed by the participants. Bear Foot Sports has permission to take
photographs of my child or myself while participating in any Bear Foot Sports
events. I understand that these photographs may be used for Bear Foot Sports
advertising and public relations through and not limited to brochures, flyers,
or newspapersand Internet
.
Signature:
Participant/Parent/Guardian_______________________________________ |
Please make check payable to BFS and mail to:
Bear Foot
Sports
20 Towne Drive - PMB #200
Bluffton, SC 29910 |
