The 12 forms of Winter –
December Dash registration
Registration form example
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Race Registration
Race Registration
(Required)
5k
10k
Half Marathon
Marathon
December Dash Tshirt
(Required)
Choose your style
Black
White
Shirt Size
(Required)
All sizes are unisex
XS
S
M
L
XL
2XL
3XL
Total
Participant Information
Name
First
Last
Email
Phone
Date of Birth
MM slash DD slash YYYY
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Emergency Contact
Name
First
Last
Phone
Relationship to Participant
Spouse / Partner
Parent
Sibiling
Friend
Other
Relationship to Participant if Other:
Waiver & Billing
December Dash Liability Waiver & Release of Claims
PLEASE READ CAREFULLY BEFORE SIGNING
By registering for and/or participating in the December Dash (the “Event”), including but not limited to the 5K, 10K, Half Marathon, or Marathon distances, I acknowledge and agree to the following:
⸻
1. Assumption of Risk
I understand that participation in running events involves inherent risks, including but not limited to: falls; collisions with other participants, spectators, vehicles, or fixed objects; weather-related hazards; road or surface conditions; dehydration; overexertion; equipment failures; and other risks that may cause serious injury, illness, or death.
I voluntarily choose to participate in the Event with full knowledge and acceptance of these risks.
⸻
2. Release of Liability
In consideration for being permitted to participate, I, on behalf of myself, my heirs, executors, administrators, and assigns, hereby release, waive, and discharge the Event organizers, sponsors, volunteers, partners, property owners, municipalities, and all other persons or entities associated with the Event (“Released Parties”) from any and all liability, including claims for personal injury, illness, property damage, or wrongful death arising from or related to my participation in the Event, whether caused by negligence or otherwise.
⸻
3. Fitness to Participate
I certify that I am physically fit, sufficiently trained, and medically able to participate safely in the Event. I am not aware of any medical condition that would make my participation unsafe.
I agree to abide by any decision of an Event official concerning my ability to safely participate.
⸻
4. Medical Consent
I authorize Event personnel and medical providers to administer first aid or medical treatment deemed necessary. I understand that I am solely responsible for any medical costs incurred as a result of my participation.
⸻
5. Weather, Cancellations & Refunds
I understand that the Event may be delayed, modified, or canceled due to weather, safety concerns, or other circumstances beyond the organizers’ control.
I acknowledge that all registrations are non-refundable, even in the event of cancellation, postponement, or my inability to participate.
⸻
6. Compliance with Rules
I agree to follow all Event rules, instructions, course markings, and safety guidelines, including any required equipment or pacing restrictions.
Failure to comply may result in disqualification or removal from the Event.
⸻
7. Photo & Media Release
I grant permission to the Event organizers to use photographs, video, and other media of me taken during the Event for promotional, advertising, or educational purposes, without compensation and without restriction.
⸻
8. Minors
If registering a minor, I certify that I am the parent or legal guardian and that I consent to the minor’s participation. I accept all terms of this waiver on the minor’s behalf.
⸻
9. Agreement
By submitting my registration, I acknowledge that I have read, understand, and agree to this Liability Waiver & Release of Claims. I understand that this is a legally binding document and accept all terms voluntarily.
I agree to the liability waiver and release of claims.
Total
Credit Card