River Rat 5K Run - June 17, 2017
Little Falls, Minnesota
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Entry Form                                                                             Race#_____
Name _____________________________     Age on Race Day _______  Date of Birth ___________

Address ___________________________________          Phone number ______________

City/State/Zip _________________________ *email required________________________

Male ___  Female ___ 
Shirt Type: T-shirt ________Tank shirt ___ RUN FOR FUN CHALLENGE  Yes_____No_____
Shirt size:Youth small ___ YMed___ YL ____ Adult S____  AM____  AL____ AXL____ 

Preregister early to guarantee t-shirt on race day
$15 before June 6                                     #___         $_____________
$20 June 6 and on race day #___   $_____________

$10 Youth T-shirt - Optional #____  $_____________
Fun Run Free #____   $FREE

Total   $_____________

Online Registration at: https://raceroster.com/events/2017/11201/river-rat-5k-run-or-walk

Some fees apply when registering online.

Make check out to: LF Chamber of Commerce 
Send check to: River Rat Run 10904 Harvest Rd., Little Falls, MN  56345


For more information please call:  Jacki 320-632-5796 or Chamber of Commerce 320-632-5155
 
email:  kmdevine@centurylink.net

Waiver of Liability:   ALL ENTRY FEES ARE NONREFUNDABLE.
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with participating in this event including, but not limited to falls, contact with other participants or spectators, the effects of the weather – including extreme cold or warm temperatures, the conditions of the road surface, all such risks being known and appreciated to me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act for my behalf, waive and release the River Rat Run, the management personnel, and all sponsors of the event, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability might arise out of negligence or carelessness on the part of the persons named in this waiver.
I hereby consent to and authorize the use and reproduction, in print or electronic format by the River Rat Run or anyone authorized by the River Rat Run, of any and all photographs which have been taken on this day for any publicity purposes without compensation. All images – electronic, negatives and positives, together with the prints – are owned by River Rat Run. I hereby acknowledge that I have read and understand the terms of this release. If you are under age 18, parent or guardian must sign entry form.


Signature of Participant ______________________________  Date _________________ 

Signature of guardian if under 18 _______________________
 


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