HealthQuest of Hunterdon

Race Registration Form

Last Name _______________________________________________

First Name _______________________________________________

Age _________     Sex ______

5K _____     ! mile ______

Street _________________________________________________

City ___________________________  State _______     Zip ___________

Telephone _____________________

T-Shirt Size       Child ____      Adult ____     XL   _____

I do hereby release & discharge HealthQuest, their representatives, successors & assignees for any and all injuries suffered to me in said event, however injured or sustained. I attest & verify that I am physically fit and have sufficiently trained for the competition of this event.
Signature ____________________________________________   Date ____________
(Parent sign if runner is under the age of 18)