2021 Rainbow Run Registration - June 4th
Please fill out this form and submit payment through Cheddar Up. It is a $20 registration fee per person.

Registration includes a shirt, mask, wristband, color powder bag and packaged ice cream.  

Last day to register is Monday, May 10th. ****Payment link located at the bottom of the form.
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Email *
Participant #1 Name and Grade (First Last, Grade) *
Participant Name #2 and Grade (First, Last, Grade or participating family member)
Participant #3 Name and Grade (First Last, Grade or participating family member)
Participant #4 Name and Grade (First Last, Grade or participating family member)
Participant #5 Name and Grade (First Last, Grade or participating family member)
T-Shirt sizes for participants
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Participant #1
Participant #2
Participant #3
Participant #4
Participant #5
Clear selection
What time would you like to run? *
Consent Form and Liability Waiver  - Sign for each participant that has been signed up.
This agreement releases District 96, Blythe Park School and the Blythe Park PTA from the liability related to injuries or damage to property that may occur during the Blythe Park Rainbow Run. By signing this agreement, I hold District 96, Blythe Park School and Blythe Park PTA entirely free of liability, including financial responsibility for injuries occurred, regardless of whether injuries are caused by negligence. I also acknowledge the risk in running/walking. These include but are not limited to injury, great bodily harm and death. I attest that I am participating voluntarily, and that all risks have been made clear to me. Additionally, I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in this activity. By signing below, I have read this release of liability and assumption of risk agreement, fully understand its terms and understand that I have substantial rights by signing it, and sign it freely and voluntarily without any inducement.
Participant #1 - By electronically signing below, I acknowledge I have read the consent form and liability waiver and agree for participant #1. (Please type name below)
Participant #2  - By electronically signing below, I acknowledge I have read the consent form and liability waiver and agree for participant #2. (Please type name below)
Participant #3 - By electronically signing below, I acknowledge I have read the consent form and liability waiver and agree for participant #3. (Please type name below)
Participant #4 - By electronically signing below, I acknowledge I have read the consent form and liability waiver and agree for participant #4. (Please type name below)
Participant #5 - By electronically signing below, I acknowledge I have read the consent form and liability waiver and agree for participant #5. (Please type name below)
Cheddar Up Link for Payment (Please open link and return to this form to SUBMIT form)  Due to the nature of the fundraiser the event will be held rain or shine - no rain date, no refund. The CheddarUp link will be available in your confirmation email.
A copy of your responses will be emailed to the address you provided.
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