Union County Foundation: Crawl for Kids, August 10, 2019

Register your Crawl for Kids team online by filling out the form below. When the form is submitted, you will be directed to a page with registration details and a link to pay securely with your credit card.

If you wish to pay by check, download this registration form, complete and send as directed.

Just want to register yourself or a few individuals? Let us team you up with other individual registrants! Use this form.

All Crawlers MUST be over 21. IDs will be checked.

Team Name:

Team Captain Name:

Address:

City:

Zip:

eMail Address:

Re-enter eMail Address:

Phone:

These are the t-shirt colors available:

Enter your first three color choices for your team below:

Tshirt color choice #1:

Tshirt color choice #2:

Tshirt color choice #3:

Team Captain Tshirt Size:

Team Members:

#2:
Tshirt Size:

#3:
Tshirt Size:

#4:
Tshirt Size:

#5:
Tshirt Size:

#6:
Tshirt Size:

#7:
Tshirt Size:

#8:
Tshirt Size:

#9:
Tshirt Size:

#10:
Tshirt Size:

ADDITIONAL DONATION:
I would like to make an additional donation to The Elizaveta Fund in the amount of :
$25 $50 $100 $500 Other amount (please specify):

Hold Harmless Agreement

In consideration of the acceptance of the right to participate, by execution of this entry form, I hereby release and discharge The Elizaveta Fund and all sponsors of The Elizaveta Fund and their officers, employees, directors, agents and representatives and anyone else connected with the management, promotion or presentation of The Elizaveta Fund from any and all known or unknown damages, injuries or losses, judgements and/or claims from any cause that may be suffered by any entrant or participant to his or her person or property. Further, each entrant expressly agrees to indemnify all the foregoing entities, firms, persons and bodies from any and all liability occasioning or resulting from the conduct of any entrant, participants or spectators assisting or cooperating with entrant under the direction or control of entrant. Further, I agree that any photos or videos of myself and/or the persons registered with me as a result of this event may be used promotionally.

Please check this box to indicate that you have read and agree to the terms above.


		This event benefits The Elizaveta Fund, housed at the Union County Foundation.