Run for the River- Registration Form
Please e-transfer your $20 registration fee to coordinator.hcwg@gmail.com
Your registration will not be considered complete until HCWG has received both the completed registration form and the registration fee and you have received a confirmation email from HCWG regarding your registration.

Please arrive at 9:45am to pick up your bib on May 18th at Kent G. Ellis Park, Hunter River (parking at Central Queens Elementary School).
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First Name *
Last Name *
Date of Birth *
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Shirt size (adult unisex) *Only the first 20 participants to sign up ahead of time receive a free shirt* *
Gender *
Phone Number *
Email Address *
Emergency Contact Name *
Emergency Contact Phone Number *
 Run Waiver: In consideration with your accepting this entry, I hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims of damage I have against the organizers holding this meet, their agents, representatives, successors, and assigns, for any and all injuries suffered by me at said meet.  
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Required
Type your name as a signature for the above waiver *
Date *
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