Running of the Elves Registration Form

City of Central Chamber of Commerce

December 7, 2013

Running of the Elves – 2.5 mile Fun Run

Participate in the 2nd Annual Running of the Elves.  Dressing in your best elf attire is encouraged.  All of the elves will help start our Christmas parade by running the parade route.  Participants registered by November 27 will receive an elf hat and a t-shirt.  Race day registration/package pickup begins at 8:30am on the corner of Joor Rd. and Hooper Rd.  Race will begin at 9:15am.

Please use a separate form for each participant.

Name:______________________________________________________________ Male  /  Female

Phone: ______________________ Address_____________________________________________

City:_________________________________ State: _________________Zip Code: _____________

E-mail: ______________________________________________Tshirt size*:___________________

*Tshirts will be given for participants registered by November 27. 

Registration:  $25.00 for all participants (All ages encouraged to participate)

Please return to:  City of Central Chamber of Commerce, 12416 Hooper Rd, Central, LA 70818

Email – [email protected]  or Phone: 225-261-5818

Waiver of Liability

I understand and agree that by participating in this run, it is a voluntary undertaking.  I understand and agree by participating in this run, I am voluntarily assuming the risk of physical injury and death.  I agree to release, indemnify and not hold City of Central Chamber of Commerce and all its employees and volunteers, from any claims, damages or other liabilities which might result from my voluntary participation in this run.  This Release shall be binding upon me and upon my executors, administrators, personal representatives, heirs, successors, and assigns.  I agree to comply with all the rules and regulations and event instructors for my safety and the other participants.

Signature:________________________________________________Date:________________________

Parent/Guardian waiver and release for minor

Signature of Parent/Guardian:_______________________________________Date_________________

Name of Minor:__________________________________________ Relationship to Minor:___________