Registration Forms 

19th Annual Virtual Race Around the Lake     AUGUST 1ST- OCTOBER 5TH  2020

 

Gender
arrow&v
arrow&v

RELEASE FORM

In consideration of acceptance of this entry, I the undersigned, intending to be legally bound, hereby for myself, my heirs, executors and administrators release and discharge New Hartford Recreation Department, BrodiePark, Inc., and all others associated with this event from all claims, damages, rights of actions, present or future, whether the same be known, anticipated or unanticipated, resulting from or arising out of, or incident to my participation or that of my child if they are under the age of 18. I have full knowledge of the risks involved in this event and am aware that there may be at times, some traffic on the course or natural obstacles on the trail.

Signature of Participant (Parent or Guardian if under 18)

Your Signature

Please remember BRODIEPARK INC will show up on your statement. Unnecessary claims are a cost to our non-profit.

Registration Fee is your donation.  Please make sure to enter your correct age group fee to successfully complete your registration. 

Please make sure to click your share your mailing address box 

TO PAY BY MAIL:  

PLEASE INCLUDE YOUR REGISTRATION FORM WITH YOUR CHECK OR MONEY ORDER PAYABLE TO:

BRODIEPARK INC

 

MAILING ADDRESS: 

PO BOX 5

NEW HARTFORD,CT 06057

WE THANK YOU IN ADVANCE FOR YOUR SUPPORT.

FOLLOW US ON SOCIAL MEDIA

© 2019 BrodiePark