Turkey Trot Mail-In Registration

Mail-in deadline is Tuesday, Nov.14th. One form per participant, photocopies accepted.

Race # _______________ (official use only)

The Adirondack for Kids Turkey Trot

A fun 5K on Thanksgiving Day!

Name ______________________________________________ Sex______

Age on race day______ Phone_____________________________________

Address_______________________________________________________

City_______________________________ State______ ZIP_____________

Email address_________________________________________________

Incomplete forms will not be accepted.

Cost is $15, or $20 after November 14th.

Participant Waiver, please read and sign below:

I know that running in and volunteering to work at the Adirondack for Kids Turkey Trot is a potentially hazardous activity. I should not enter and run, walk, and/or volunteer unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run, walk, and/or volunteer. I also agree that I may be examined and treated if necessary during the course of the race by race personnel in the event medical problems of any cause arise. The race officials have the right to disqualify me and remove me from the race if, in their opinion, I may be suffering from a life threatening condition. I assume all risks associated with running in and volunteering for the race including, but not limited to, falls, contact with other participants, the effects of the weather, including freezing temperatures and/or ice, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application for participating in the race and/or my volunteering, I, for myself and anyone entitled to act on my behalf, waive and release the Adirondack for Kids fund, the Village of Malone, and all above mentioned officers and agents, all sponsors, their representatives and successors, and employees, from all claims or liabilities of any kind arising out of my participation in this event even though liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I also approve the use of my and/or my dependent’s picture taken before, during, or after the race for promotional use without further compensation.

Signature______________________________________ Date__________

Parent or Guardian, if under 18___________________________________

To register by mail complete the form and send it with your check or money order payable to Adirondack for Kids, PO Box 355, Malone, NY 12953. ATTN: Turkey Trot. Race numbers will be handed out upon your arrival to the event.

Turkey Trot Details

Thanksgiving Day

November 23, 2017

Race starts at 10am

At Arsenal Green Park

Malone