You have selected the following jobs

Registration and Packet Distribution
Thursday, March 7, 2013 (12:00 PM - 02:00 PM)

* Required fields

* First Name:
* Last Name:
* Address:
* City:
* State:
or * Province:
* Zip/Postal Code:
* Country:
* Gender	Female Male
* Date of Birth:
* Email :
* Home Phone:
Work Phone:
*T-shirt Size:
Comment (eg: who you'd like to work with, or, list second volunteer choice):

PLEASE READ AND AGREE TO WAIVER
By clicking "Submit" below, you agree to the following Liability Release: I, for myself, as well as for my heirs, executors, administrators, trustees, and assigns, hereby waive and release any and all rights and claims for any fatality, injuries and/or damages, including but not limited to, demands or actions for negligence, premises liability, emotional injury, intentional conduct, tort claims, and any other actions or demands of whatsoever nature I have or may have in connection with my participation as a volunteer in the Gate River Run against the sponsors, director, and organizers and otherwise agree to hold these entities harmless. I acknowledge that I am aware of the inherent risks (physical and otherwise) involved in volunteering for this event and I voluntarily assume these risks. I further attest and certify that I am physically capable of performing the tasks required for the volunteer job(s) I have selected. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.

INFO FOR PARENT/GUARDIAN COMPLETING THIS REGISTRATION
Registration for minors must be completed by a Parent or Legal Guardian. If your age on race day is less than 18 years old, please fill in the Parent/Guardian Contact Information below. Providing such information and continuing this process indicates that this registration was completed by the person listed below.
Parent/Guardian Name:
Contact Phone:
Contact Relationship:

*Agree to waiver:	I agree I do not agree