Event Data Solutions

First Name

Last Name

Address

Apt Number

City

State

Zip Code

E-Mail

E-Mail Confirmation

Gender

Male

Female

Telephone (Must be 10 digits only, example: 5554443333)

Emergency Contact

Emergency Telephone (Must be 10 digits only, example: 5554443333)

Medical Conditions

Age on Race Day

T-shirt Size (Requested shirt sizes available while supplies last)

Would you like to donate to The Weiss Band Booster Club?

The Weiss High School Band Booster Club - https://www.weissbands.com -- supports and assists the Weiss High School Band Directors in reaching the Program goals as defined by the Directors and in conjunction with the Weiss Band Booster Club. All proceeds from the race will directly benefit Weiss High School band students and staff, and help them in achieving their performance goals.

Waiver of Claim

LIABILITY RELEASE: In consideration of the foregoing, I, for myself, my heirs, executors, administrators, personal representatives, successors and assigns, waive and release any and all rights, claims and courses of action I have or may have against Pack Around the Park, Event Data Solutions, Weiss High School Band Booster Club, its Primary Sponsors and its affiliates, their agents, employees, officers, directors, successors and assigns, the City of Pflugerville, and any and all sponsors, their representatives and successors, that may arise as a result of my participation in The Event and any pre- and post- event activities. I assume all risks associated with running/walking in this event including, but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Further, I hereby grant full permission to any and all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose including commercial advertising. I agree that in the event that the run does not take place due to any cause beyond the reasonable control of the parties, the registration fee as set forth above shall be treated as a donation to the Weiss High School Band Booster Club and shall not be reduced or refunded.

I have read, understood, and accept the agreement above. My submission of this form shall act as my legal signature.

Age Waiver Initials of athlete 18 years of age or older or parent/legal guardian of minor under 18 years of age or legal guardian of incapacitated and/or mentally challenged person.

I would like to receive registration confirmation emails, packet pick-up information and race information. Email addresses will only be used to contact participant about race-related information.

Discount Code

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