Select Race (*)
Invalid Input
Make Sure you select the correct race.
First Name (*)
Invalid Input
Last Name (*)
Invalid Input
Age (*)
Invalid Input
Address (*)
Invalid Input
City (*)
Invalid Input
State (*)
Invalid Input
Zip Code (*)
Invalid Input
Cell Number (*)
Invalid Input
Email Address (*)
Invalid Input
Waiver * I understand that my consent to these provisions is given in consideration of the acceptance of this Volunteer Form and for being permitted to participate in this event. I am a voluntary participant in this event, and in good physical condition. I hereby assume full and complete responsibility for any injury or accident which may occur during my participation in this event and I hereby release and hold harmless and covenant not to file suit against Alamance-Burlington School System, Southern Alamance High School, and race organizers whose property and/or personnel are used, and all other persons or entities associated with this event from any loss, liability, damage, or claims I may have arising out of my participation in this event, including personal injury or damage suffered by me or others. I give my full permission to ABSS to use any photographs, videotapes, or other recordings of me that are made during the course of this event. I also give my full permission for first aid as deemed necessary to be provided to me on the premises or prior to transport to a hospital for further treatment.
(*)
Invalid Input
Additional Donation
Invalid Input
Select Option
Invalid Input
Total
0.00 USD
Invalid Input