Online Registration Form

Please fill out the following information completely to register for the race.

ALL fields are required.
First Name:
Last Name:
Address:
City:
State:
Zipcode:
Phone Number:
Email:
Sex:Male    Female
Age on Race Day:
T-Shirt Size:S    M    L    XL
How Did You Hear About the Race:

Note: All personal information will be kept private and will only be used for communication regarding the event.

Acknowledgment

In consideration of my entry, I, my executors, administrators, and assignees, waive and release Weber State University on the date Oct. 8, 2011, all sponsors and others directly or indirectly involved in the event from all rights, claims, liabilities, damages, pain, and illness suffered by me while participating in the race. I attest that I am physically fit and have trained to participate in this event. I also understand that all registration fees are NON-REFUNDABLE

Enter your initials into the box below if you agree to the above terms of entry. If you are under 18 years old, a parent or guardian must read the acknowledgment and enter their initials.

I agree to the terms of entry into this race:

 

Information

  • Date:
    Sat., October 8th, 2011
  • Time:
    9:00 am
  • Location: (Map)
    Lorin Farr Park
    769 Canyon Road
    Ogden, UT 84404
  • Contact Us:
    Email Form