General Start Line Volunteer
Sunday, October 13, 2013 (05:00 AM - 10:00 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:
Group Name:
Comment (eg: who you'd like to work with, or, list second volunteer choice):

PLEASE READ AND AGREE TO WAIVER
WAIVER AND RELEASE FOR GOOD AND VALUABLE CONSIDERATION: Including permission for the undersigned to participate in the Long Beach International City Bank Marathon and related events, including volunteering for all events. I, the undersigned for myself, my successors, heirs, executors, and administrators, agree that prior to participating I will inspect the facilities and equipment to be used, and if I believe any of them are unsafe, I will immediately advise the supervisory person at the facility. I acknowledge that I fully understand that I will be engaging in activities that involve risk of serious injury or death, including economic losses which might result not only from my injuries, including medical or hospital bills, permanent or partial disability or death, but also damages to my property.

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