Course Marshall 11
Saturday, October 27, 2012 (06:45 AM - 07:45 AM)

* 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:
*Please provide emergency contact:
*Please provide emergency contact phone number:
Comment (eg: who you'd like to work with, or, list second volunteer choice):

PLEASE READ AND AGREE TO WAIVER
I understand that volunteering at a road race may involve potential risks and that I should not volunteer unless I am medically able. I agree to abide by any decisions of the race officials about my ability to volunteer. I agree to follow the instructions outlined by Race Officials regarding my assignment. I assume all risks associated with volunteering with this event, weather, road conditions, vehicle hazards and acts of god. I waive and release Destination Races and it?s agents and sub contractors and sponsors from all claims or liabilities of any kind as a result of my volunteering for this event. I further grant permission to use my name and images of myself in any photographs, motion pictures, publications or any other print, videographic or electronic record of this event for legitimate purposes.

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