If you wish to register more than one person, please repeat this process for each person.

FIRST NAME*...........................LAST NAME*

ADDRESS*

CITY/STATE/ZIP*

TELEPHONE*

EMAIL ADDRESS*

I AM REGISTERING FOR THE* . 10K RUN . TWO MILE WALK

AGE ON DAY OF RACE*
.. GENDER*: MALE .. FEMALE

Please note: In consideration of acceptance of my entry, I, for myself, my heirs, executors and anyone entitled to act on my behalf, waive and release Skagit Runners, the Guemes Island Library and its members, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. I further understand that medical insurance is NOT provided.

Parents must sign, if athlete is under the age of 18 years and grant permissions for event officials to authorize necessary medical treatment. I have read the above statement, understand it, and confirm by my signature my full acceptance of the terms within.

SIGNATURE*

PARENT/GUARDIAN SIGNATURE* if athlete is under the age of 18

*REQUIRED FIELDS

To prevent spammers from misusing this page and its service, please type these letters and numbers into the field below.

$15 registration fee is payable securely online next.

(Kids 14 and under register free, so skip the payment process for any youth registration.)

A copy of your registration will be sent to the email address entered above.

Please check in at the registration table on race day to pick up your race number and T-shirt, if ordered.