Wherever Needed
Friday, November 30, 2012 (11:00 AM - 10:00 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
Volunteers Agreement, Waiver, Release and Acknowledgement: In consideration of your accepting me as a volunteer for The Palm Beaches Marathon, I hereby for myself, my heirs, executors and administrators waive and release any and all rights and claims for damages I may have against The Palm Beaches Marathon, the sponsors, the volunteers, the participants, the State of Florida, and the cities and towns in which the race is contested, their representatives, successors and assigns for any and all injuries suffered by me in said event. I grant to The Palm Beaches Marathon and The Palm Beaches Marathon???s sponsors and licensees the exclusive right to the free use of my name, my voice and/or my picture in any broadcast, telecast, advertising, promotion or other account of this event. I further attest and certify that I am physically fit.

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