Liberty Dash Registration 2014

Landon’s Lookout – Liberty Dash
July 4, 2014

Sacajawea Park (Livingston, MT)

Participant Registration Form

Print this screen and mail -or-
Register Online
Race Times (tentative):

  • 8:15 am – 1 Mile Fun Run
  • 8:40 am – 5k/10k Run

Under 16 use this link to register for $10, enter EVENT and T-SHIRT SIZE in

Billing Address Line 2 Block https://www.paypal.com/us/cgi-bin/webscr?cmd=_flow&SESSION=VVuweq4N8uk_CDDTWtoFTHrfUqEUvBMkAGzPkS8BfrnQxIfI73HA72Z1Fra&dispatch=5885d80a13c0db1f8e263663d3faee8d4e181b3aff599f99a338772351021e7d

 

WAIVER OF LIABILITY –

I know that running a road race is a potentially hazardous activity. I should not enter unless I am able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event including but not limited to: contact with other participants, the effects of weather including heat and/or humidity, traffic and conditions of the running course, all such risks being known and appreciated by me. Having read and knowing these facts, and in consideration of your accepting my entry, I, for myself, and anyone acting on my behalf, waive and release Landon’s Lookout, as well as their volunteers, directors, sponsors, and their representatives and successors from all claims or liabilities of any kind from my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I also agree to have fun on the course.

MAIL REGISTRATIONS SHOULD BE SENT TO:

Landon’s Lookout, 110 E. Lewis Street, Livingston MT 59047

Name:
Street Address:
City:
State:
Zip:
Phone:
E-Mail:
Emergency Contact:
(Name/Phone)
Event:
  No T-Shirts for 2014 — Other gifts to be provided  in race bag !!
How did you learn about the LIBERTY DASH?

Cost is $20.00 (under 16 is $10.00)

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