OFFICIAL DISCLAIMER AND ENDURANCE FORM (This form may

OFFICIAL DISCLAIMER AND ENDURANCE FORM
(This form may be duplicated.)
I may be dumb, but I love to have a good time. Please include me in your activity. I, the undersigned, being of questionable
mind and body, do swear that no legal action can be brought against any persons associated with the events of the Runnin O’
the Green and St. Patty’s Day – no pub owner, employee, customer, individual or corporation can be held responsible for any
stupid thing I will undoubtedly do on this day. If I should argue, give grief to, or otherwise cause discomfort to any of the
workers, judges, participants, etc., may St. Patrick’s Saint Bernard pee in my ear!
ALL PROFITS GO TO CAMP GRASSIK AND LOCAL CANCER PATIENTS.
EARLY PRE-REGISTRATION: $30.00 ENTRY FEE, INCLUDES SHIRT; RACE DAY: $10.00 (NO SHIRT)
MUST BE 21 YEARS OF AGE TO PARTICIPATE.
(PROPER PICTURE I.D. MUST BE CARRIED BY ALL)
www.runninothegreen.com
MAKE ALL CHECKS PAYABLE TO THE ELKS #995, RUNNIN O’ THE GREEN
Name________________________________________
Shirt Size (Circle One) S M L XL XXL XXXL
Address________________________________________________________ Zip___________________
Email Address_________________________________ Phone________________ DOB______________
Date____________________ Signature____________________________________________________
Send or Mail this form to:
Wildside Creations, Inc.
103 4th St. NE
Jamestown, ND 58401
Phone – 701-252-5228