Upper Kittitas County Rotary Snowmobile FUNd Run

Packet pickup and check-in begins at 9:00am

Name*
First Last
Dependent Rider
- I want to register an additional participating minor (under 18) rider
Additional Participating Minor Rider(s)*
First Name Last Name
Minor Liability Release*
By checking this box and signing below, I acknowledge that I have read and understood this waiver and release of liability and that I am legally allow to sign on behalf of my named minor child(ren)
General Liability Release Waiver
In consideration of and to permit my participation of riding in the Snowmobile FUNd Run, I hereby acknowledge and accept the risk of possible personal injury resulting from or caused by my participation in this event and I hereby acknowledge and affirm my continued willingness and desire to participate. Further, and of my own free consent and volition, and in consideration of my participation in the FUNd Run, I hereby agree to indemnify and hold harmless Rotary Club of Upper Kittitas County, all sponsors, and volunteers and do hereby waive claims for any and all injuries, causes of action, or damages that I or my vehicle, may sustain while participating in the Snowmobile FUNd Run. Furthermore, I release Upper Kittitas County Rotary from any liability pertaining to any minor children in my care and participating in this event.
Address*
Mailing Address Address Line 2 City State ZIP Code
Email*
Phone*
Snowmobile Club Affiliation
Liability Release*
By checking this box and signing below, I acknowledge that I am at least 18 years of age, have read and understood this waiver, and release of liability and that I am signing it voluntarily
General Liability Release Waiver
In consideration of and to permit my participation of riding in the Snowmobile FUNd Run, I hereby acknowledge and accept the risk of possible personal injury resulting from or caused by my participation in this event and I hereby acknowledge and affirm my continued willingness and desire to participate. Further, and of my own free consent and volition, and in consideration of my participation in the FUNd Run, I hereby agree to indemnify and hold harmless Rotary Club of Upper Kittitas County, all sponsors, and volunteers and do hereby waive claims for any and all injuries, causes of action, or damages that I or my vehicle, may sustain while participating in the Snowmobile FUNd Run. Furthermore, I release Upper Kittitas County Rotary from any liability pertaining to any minor children in my care and participating in this event.
Signature*
Payment*
- Pay Online by Credit Card
- Pay by Check
Participant Rider Registration Fee*
Price: $40.00
*Participant Riders are you and each of your minor (under age 18) children that you are registering AND you wish them each to receive their own packet with raffle tickets. You do not need to pay for minor children who will not be receiving their own packet which includes raffle tickets.
Additional Raffle Tickets - Packs of 5
Price: $30.00
Total
$0.00
Additional Contribution to UKC Rotary
Cancellation Donation
- I would like to donate my registration fee in the event the FUNd Run is cancelled

2022 UKC Rotary Snowmobile FUNd Run Registration

January 29, 2022 · The Last Resort

First Name	Last Name