Each participant must complete a registration form. Registration fee is non-refundable.
runner
cost - early registration received by Aug. 31/10
cost - registration received by Sept. 18/10
2.5k walk 5k walk/run 10k run
super early bird draw: register by July 31st & you're entered to win a one years subscription to Runner's World magazine!
early bird draw: register by August 31st & you're entered to win an Ipod Shuffle!
first name
address
city
phone (h)
email
age
yes no
timothy team name
waiver In checking I AGREE below this release, I (we) understand the intent thereof, and I (we) hereby agree and absolve and hold harmless Gull Lake Baptist Camp Ltd. and Association of Wolf Creek Youth for Christ, corporate sponsors, cooperating organizations and any other parties connected with the Timothy Trek in any way, singly or collectively from and against any blame and liability for any injury misadventure, harm, loss, inconvenience or damage hereby suffered or sustained as a result of participation in the 2010 Timothy Trek, or any activities associated therewith, I (we) hereby consent to and permit emergency treatment in the event of injury or illness. I (we) give full permission to use my name and/or photo in connection with this event. I Agree
Do you have a medical condition we need to be aware of? Y N If yes please specify below.
I confirm that the information I have provided is correct.