2023 Fun Run Entry Form

Saturday, July 15th 7:30AM
$15.00 for an individual
$30.00 for 2 or more family members

Please fill out this form entirely. You will need a credit or debit card to complete the registration process.
Questions or Concerns: email fourseasonsfestivalpc@gmail.com.

Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Street Address (number and street) *
City, State and Zip Code *
Email *
Phone Number *
Select distance *
Required
Birthdate (for division results only) *
MM
/
DD
/
YYYY
Sex (for division results only) *
Emergency Contact: name and phone number *
Waiver

By agreeing below, I understand the risks involved and, in consideration for the opportunity to participate in the Four Seasons Festival Fun Run. I do hereby release any and all rights and claims for damages participating household/family members and I have now or hereafter have against the Four Seasons Festival, Polk City Chamber of Commerce, Polk City Development Corporation, the City of Polk City or their respective agents, representatives, successors or assigns, for any and all injuries which may be sustained by me in connection with my participation in the Four Seasons Festival Fun Run.
*
Are you registering more than one person from the same household/family? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy