Kids Mini-tri Registration/Disclaimer Pre-registration is encouraged to ensure your child gets the right size t-shirt. Participants with helmets will receive a bonus surprise. Younger kids are encouraged to wear life jackets.Participant Name(Required) First Last Grade Level Completed(Required)Eligible participants are K - 6th grade Kids T-shirt Size(Required) Small Medium Large X-Large Additional ParticipantsFill out if you are registering more than one child. Participant Name (2) First Last Grade Level Completed (2) Kids T-shirt Size (2) Small Medium Large X-Large Participant Name (3) First Last Grade Level Completed (3) Kids T-shirt Size (3) Small Medium Large X-Large Parent/Guardian InformationParent/Guardian Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email Consent(Required) I have read this release und understand all of its terms. I agree with its terms and sign it voluntarily.The undersigned recognizes, as with any activity, there is risk of injury. The Undersigned releases Johnson Memorial Health Services, event sponsors, its employees, agents, and assigns, from any claims including, but not limited to, personal injuries or damage to property caused by or having any relation to this activity. It is understood that this release applies to any present or future injuries and that it binds the Undersigned, Undersigned’s spouse, heirs, executors and administrators. The Program Participant may be photographed and videotaped while participating in activities, and consent is given for the reproduction of such photos or videos for advertising and publicity.Registration Fee: Price: $10.00 Quantity: Total Δ
