Summer Solstice Registration

Enter me in the(required)

10k

Fun Run

Gender

Male

Female

Shirt Size(required)

Date of Birth

Age on June 21, 2014

I own my own chip and will use it for the race. My chip number is

Waiver must be signed: In consideration of your accepting this form, I herby for myself, my executors, my heirs and administrators, waive and release all rights and claims for damages I may have against the Island Lake Recreation Area, Kiwanis Club of Brighton, sponsors of the event, its agents, representatives, successors and assigns for any and all injuries scuffed by me and said run of which may arise out of my travel to, participating in, and returning from the event. I also agree to acknowledge and abide by all applicable pedestrian laws and respect the privacy and property of the Island Lake Recreation Area. Athlete (or Parent/Legal Guardian, if under 18) Must Sign