Westport Road Runners Summer Series Online Registration

Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your RunSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Non-Binary

Phone *

Format: ###-###-####

Street Address *

Country *

Zip Code *

City *

State *

Waiver

In consideration of my entry being accepted, intending to be legally bound, I do hereby myself, my heirs, executors and administrators waive release and forever discharge any and all rights for claims and demands which may have and may hereafter accrue to me against the Westport Parks & Recreation Dept., Town of Westport, and any other sponsor, co-sponsors participants, officers or members, race director and/or agents, damages which may be sustained and suffered by me in connection with my association with or entry in the event. I certify that I am trained and physically capable to run the distance - realizing that I will be running in traffic on unpoliced roads.

By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them, and agree to the Privacy Policy.

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Westport Road Runners Summer Series

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