Click here to register online:
https://www.raceentry.com/races/5k-duck-dash-for-camp-wonder/2018/register
Or print the form below and mail it
5k Duck Dash Run/Walk for Camp Wonder
Date: Saturday, June 9, 2018 Pre-entry fee: $20.00 by June 7, 2018 Race-day fee: $25.00
Start Time: 9:00 am
Location: Sherwood Middle School, Shrewsbury, MA
Make checks payable to: Duck Dash for Camp Wonder
Mail forms to:
Duck Dash for Camp Wonder 5K Road Race
23 Richard Ave.
Shrewsbury, MA 01545
Registration: Day-of registration at Sherwood Middle School, Shrewsbury, MA, 8:00am Race-day fee: $25
All proceeds go directly to the Children’s Skin Disease Foundation
Contact: [email protected]
T-Shirts Guaranteed to all registered by June 8, 2018.
Please enter me in the Duck Dash for Camp Wonder 5k Road Race. I agree to assume all responsibility for all risk of damage or injury to me as a participant in this event. In consideration of being accepted as an entrant, I hereby, for myself, my heirs, executors and administrators, release and discharge any individuals, entities, and organizations associated with the race from claims, damages, rights of action, present or future, whether the same be known, anticipated, or unanticipated, resulting from or arising out of, or in incident to, my participation in this event. I hereby certify that I will not participate in the Duck Dash for Camp Wonder 5K Road Race unless I am physically fit and sufficiently trained for competition in the race. I also grant permission for the use of my name and or picture in any broadcast, photograph or other account of this race. I understand that bicycles, skateboards, baby joggers, or strollers, roller skates, or roller blades, animals, and headphones are not allowed in the race and I abide by this guideline.
Date_______________Signature__________________________________________________________________
(Parent/Guardian signature required for participants under 18)
Name (please print) ___________________________________________________________________________
Street Address ________________________ City, State, Zip _________________________________________
Telephone ___________________________________ Email __________________________________________
T-shirt size (circle one) S M L XL
Emergency Contact ______________________ Emergency Phone_______________
Gender Male / Female Age on Race Day _________
Waiver and Release
GENERAL RELEASE AND WAIVER OF LIABILITY
Please enter me in the Duck Dash for Camp Wonder 5K Road Race. I agree to assume all responsibility for all risk of damage or injury to me as a participant in this event. In consideration of being accepted as an entrant, I hereby, for myself, my heirs, executors and administrators, release and discharge any individuals, entities, and organizations associated with the race from claims, damages, rights of action, present or future, whether the same be known, anticipated, or unanticipated, resulting from or arising out of, or in incident to, my participation in this event. I hereby certify that I will not participate in the Duck Dash for Camp Wonder 5K Road Race unless I am physically fit and sufficiently trained for competition in the race. I also grant permission for the use of my name and or picture in any broadcast, photograph or other account of this race. I understand that bicycles, skateboards, roller skates, or blades, are not allowed in the race and I abide by this guideline.
I understand and agree to the waiver and release*
_______________________________________________________________________________________________________
https://www.raceentry.com/races/5k-duck-dash-for-camp-wonder/2018/register
Or print the form below and mail it
5k Duck Dash Run/Walk for Camp Wonder
Date: Saturday, June 9, 2018 Pre-entry fee: $20.00 by June 7, 2018 Race-day fee: $25.00
Start Time: 9:00 am
Location: Sherwood Middle School, Shrewsbury, MA
Make checks payable to: Duck Dash for Camp Wonder
Mail forms to:
Duck Dash for Camp Wonder 5K Road Race
23 Richard Ave.
Shrewsbury, MA 01545
Registration: Day-of registration at Sherwood Middle School, Shrewsbury, MA, 8:00am Race-day fee: $25
All proceeds go directly to the Children’s Skin Disease Foundation
Contact: [email protected]
T-Shirts Guaranteed to all registered by June 8, 2018.
Please enter me in the Duck Dash for Camp Wonder 5k Road Race. I agree to assume all responsibility for all risk of damage or injury to me as a participant in this event. In consideration of being accepted as an entrant, I hereby, for myself, my heirs, executors and administrators, release and discharge any individuals, entities, and organizations associated with the race from claims, damages, rights of action, present or future, whether the same be known, anticipated, or unanticipated, resulting from or arising out of, or in incident to, my participation in this event. I hereby certify that I will not participate in the Duck Dash for Camp Wonder 5K Road Race unless I am physically fit and sufficiently trained for competition in the race. I also grant permission for the use of my name and or picture in any broadcast, photograph or other account of this race. I understand that bicycles, skateboards, baby joggers, or strollers, roller skates, or roller blades, animals, and headphones are not allowed in the race and I abide by this guideline.
Date_______________Signature__________________________________________________________________
(Parent/Guardian signature required for participants under 18)
Name (please print) ___________________________________________________________________________
Street Address ________________________ City, State, Zip _________________________________________
Telephone ___________________________________ Email __________________________________________
T-shirt size (circle one) S M L XL
Emergency Contact ______________________ Emergency Phone_______________
Gender Male / Female Age on Race Day _________
Waiver and Release
GENERAL RELEASE AND WAIVER OF LIABILITY
Please enter me in the Duck Dash for Camp Wonder 5K Road Race. I agree to assume all responsibility for all risk of damage or injury to me as a participant in this event. In consideration of being accepted as an entrant, I hereby, for myself, my heirs, executors and administrators, release and discharge any individuals, entities, and organizations associated with the race from claims, damages, rights of action, present or future, whether the same be known, anticipated, or unanticipated, resulting from or arising out of, or in incident to, my participation in this event. I hereby certify that I will not participate in the Duck Dash for Camp Wonder 5K Road Race unless I am physically fit and sufficiently trained for competition in the race. I also grant permission for the use of my name and or picture in any broadcast, photograph or other account of this race. I understand that bicycles, skateboards, roller skates, or blades, are not allowed in the race and I abide by this guideline.
I understand and agree to the waiver and release*
_______________________________________________________________________________________________________