3K FUN RUN APPLICATION

Name *
Name
Address
Address
Cell Phone *
Cell Phone
I know that running is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I also know that, although police protection and event flaggers might be provided, there could be traffic on the course route; therefore, I assume the risk of running in traffic. I also assume any other risks associated with running this event including, but not limited to, falls, contact with other participants, and the effects of weather and conditions of the road. I understand I am solely responsible for my own safety while participating in this event. Knowing these facts and in consideration of your acceptance of my entry, I hereby for myself, my heirs, executors, administrators or assigns hereby waive, release, and discharge the sponsors, race officials, volunteers, City of Brewster, Chamber of Commerce, and their representatives, successors or assignees from any and all claims of liability for personal or property damage of any kind or nature arising out of or in the course of my participation. I further grant full permission to any and all of the foregoing to use any photograph or any other record of this event. Minors will be accepted with a parent/guardian signature.
Digital Signature *
Digital Signature
By filling in your name here you here by agree to the above waiver and consent.

Please fill out one form completely for each participant.

Registration must be submitted by June 10, 2018.


$25 registration fee includes t-shirt

Please make checks or money orders payable to the Brewster Chamber of Commerce.

Mail registration payment to:
Brewster Chamber of Commerce
PO Box 1087
Brewster, WA 98812

If you are interested in sponsoring a part of the event, volunteering to assist with the show, or have questions, please contact:
brewsterwachamber@gmail.com | 509-593-0771