Your Team Number or Team Name (Get this from your team captain)     Your Name Parent's Name if racer is under 18     Your e-mail Address Phone Number Your e-mail and phone number are for the purposes of contacting you if your registration is somehow incomplete. They will not be given to anyone else.     Your Event: Select one Runner Biker Canoer/ Kayaker

WAIVER AND RELEASE FORM FOR THE GREAT RACE 2009 I certify that I am the person whose name is in the field above or the parent of the person above who is under 18 years in age. In signing this entry, I, to myself my heirs lawyers executors and administrators waive and release any and all rights and claims for personal damages I may have against the Great Race, Inc., the Arthritis Foundation, Upstate New York Chapter, Inc. and other sponsors of this race. I certify that I am physically fit and have trained sufficiently for this race. I am aware of the potential of heat injuries from participating in a summer race and accept the risk. Participation is deemed ratification of a forged signature. By checking this box I agree to the terms of the above waiver and release: Check the box and Click "Send Form" Below.