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August 3, 2019 @ PUD Riverwalk Park

Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*
Are you under the age of 18?*
- Yes
- No
Parent/Guardian Agreement*
All participants under the age of 18 are required to have permission from their parent or guardian. Please have a parent or guardian fill out the remainder of this form.
- I am the parent or guardian of the person signing up for this event, and give them permission to participate in this event.
Parent/Guardian Name*
First Last
Parent/Guardian Phone*
Entry Options*
- Lake Rider Challenge | $55
- NCB Sprint - Manson Mill Bay | $35
- Butte Brand Runner | $25
- Local Myth Pizza Beach to Beach Kid Race | $0
Total
$0.00
Participation Agreement:

By agreeing to participate in this event, Participant and/or their legal guardian agree to forever release and hold both Windermere Real Estate/Lake Chelan and Lake Rider Sports harmless from any injury or damages that Participant may sustain as a result of participating in this event. Participant and/or their legal guardian acknowledges that water sports and competitions are inherently dangerous and an injury could cause death or serious bodily injury and agree to enter the competition knowing the risks involved.
Do you agree to the Participation Agreement above?*
- I Agree