Hydration Station #5
Saturday, April 28, 2012 (07:30 AM - 11:00 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:
*T-shirt Size:
*Are you volunteering with an organization?:
If yes, list organization name here::
*Emergency Contact Name:
*Emergency Contact Phone:
Comment (eg: who you'd like to work with, or, list second volunteer choice):

PLEASE READ AND AGREE TO WAIVER
I hereby declare that I am in good health for my volunteer activities. I absolutely relieve the "Macomb Health and Fitness Foundation", the USATF Michisgan Association, USA Track & Field, the corporate sponsors, County of Macomb, the City of Mount Clemens, Charter Township of Harrison, Charter Township of Clinton, Macomb County Road Commission, MDOT, Metro Beach, Mount Clemens Community Schools, Clinton Township Police and Macomb County Sherriff Dept. of any and all responsibilities for any injury to myself, loss or damage to my property which I may sustain in the course of (or in connection with) the 2011, Let's Move Festival of Races.

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