Teams! Team members must each fill out an entry form and submit together!
Circle One: Individual Team of 2
January 1-31: $20 $35
February 1-16: $25 $45
Late registration at Route 16 Running only!
February 17 & 18: $30 $55
Total Paid: $______________
WAIVER! I warrant that I am physically able to participate in this event. In consideration for myself, my debtors, administrators and assignees, I do hereby release and discharge any rights and claims against Route 16 Running and Walking, Custom Race Systems, City of Gig Harbor, Dock Street Runners, USA Track and Field, and any other individuals or groups involved with the running of this event of any or all injuries suffered by me at this event or while traveling to and from the event. I also understand that in the event that You Knock My Socks Off 5k cannot be held as scheduled due to an act of God or other circumstances, I am not entitled to a refund of any money paid by me to participate. I also hereby consent to and accept responsibility for any emergency treatment in the event of injury or illness. I further grant permission to use my name, age, birth date, city, finish place, photo or likeness for publicity or post-race activities. This entry form serves as your receipt.