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5K Walk
FREE! |
8K Run
$25 (free t-shirt) |
5K Speed Walk
$25 (free t-shirt) |
| Age on Race Day
Sex Male Female |
| Team? Yes No
Team Name
Business Team? Yes No
(If Yes) # of Employees
Family Team? Yes No
(If Yes) # of Members
Team Captain Name
Team Captain Phone #
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| Your Name |
 Address
City/Town State Zip
Phone
E-Mail
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In case of Emergency, please contact (name & phone)
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| WAIVER: In consideration of this entry being accepted, I hereby, for myself, heirs, executors, and administrators, waive and release any and all claims for personal damage I may have against Cottage Hospital, the sponsors of this event, the community of Woodsville, and any other volunteers and organizations related to this event. In addition, I grant full permission to any and all of the foregoing to use any photographs, videotape, motion pictures, recordings or any other record of this event. |
| Check here to note that you have read and understand the above Waiver |
Please enter your full name to be accepted as your electronic signuatre
*
* If you are under the age of 18 we need the electronic signature of a Parent/Guardian |
Please enter the Verifcation Code
    
here
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