Halloween Hustle Sign Up

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Please fill out the form below to sign up for the 5K and/or the kids fun run. If you are part of a Family or Team (4 people), please add that information on the area provided. Please provide your Tshirt sizes on the form below.

By filling out this form you are acknowledging there is no payment method available. Please mail any registration payments to:

Rebel Softball Team
Attn: Danielle Peterson
PO Box 460
Wabeno, WI 54566

Make checks payable to: Wabeno High School

Payment can also be dropped off at either Laona School District offices or Wabeno School District offices or you can get them to me (Danielle Peterson) or Shelly Tinsman any other way!

Thank you for your support of the Rebel Softball Team!

Name of Participant *

First and Last Name

Gender *

Male

Female

Required

Age of Participant *

On race Day

Phone Number *

Email Address

I will send an email confirming your registration within 24 hrs. If you do not receive a confirmation email please email me at dpeterson@wabeno.k12.wi.us

Address *

Emergency Contact Name and Phone Number *

Please sign me up for..... *

Kids Fun Run - under 10 ($15 tshirt and free water bottle)

5K ($25 sign up before Oct 21, $30 after Oct 21)

(Optional) Name of Team

(Optional) Names and Ages of Team/Family Members

4 member teams

T Shirt Size

Only guaranteed if registering before Oct. 21

Adult S

Adult M

Adult L

Adult XL

Adult XXL

Clear selection

Total Amount *

$25 per person before Oct 21, $30 per person after Oct 21, $75 for each team/family (minimum 4), $15 for child under 10

Payment Method *

Cash

Check

Other:

I will do the following for payment: *

If paying by check, please indicate the participants on the memo line. If paying by cash, please include a note with the participants name.

I will mail a check to Rebel Softball, PO BOX 460, Wabeno WI (Checks made out to Wabeno High School)

I will be sending it to school with my child (please have them turn it into the main office)

I will drop it off at Danielle Peterson's or Shelly Tinsman's house ASAP - only if you know where we live.

Other:

Please type your full name after reading this statement: *

In consideration of your accepting this entry form, I hereby for myself, my heirs, executors and administrators waive and release all rights and claims for damage I may have against this event, the sponsors of this event, its agents, representatives, successors, and assigns of any and all injuries suffered by me at said run, or which may arise out of traveling to, participating in and returning from these events. I also understand that if payments is not received on or before October 28, 2016 my registration is null and void and I may not be able to participated in this event.

Paper Registration Form

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