17th Annual Skinnydipper Sun Run 5K Entry Form

  • Fill out this form with your browser.
  • Print it, sign, and mail with check payable to:
    Wildwood
    241 Private Road 1179
    Decatur, TX 76234
  • $25 if your entry form is postmarked on or before April 12, 2014. $35 after April 12, 2014. Add $10 if you want a  T-shirt. 

First Name

Last Name

Address

City

State

Zip

Email

Phone

Age on
April 26, 2014

Date of Birth

Gender

 Male    Female

Shirt type

 No Shirt    Tech T-shirt ($10) 

Shirt size

S         M         L          XL          XXL    

If you will be bringing a spouse or significant other to participate as a volunteer,
please enter their name     

The following waiver must be signed and submitted with registration:
WAIVER OF CLAIM
In consideration of the acceptance of this entry, I, the undersigned, assume all risks and complete responsibility for any injury or accident which may occur during the “Skinnydipper Sun Run Cross-Country 5K” or while I am on the premises of the event, and I hereby release and hold harmless the sponsors, promoters, and all other person and entities associated with the event from any and all injury or damage and liability, whether it be caused by negligence of the sponsors, promoters and other persons or entities associated with the event, or otherwise. I also authorize “Skinnydipper Sun Run Cross-Country 5K” personnel permission to select location for any medical treatment I might need in case of injury.

Signature:______________________________ Date:______________

Privacy Notice: The registration information you provide will be used to process your entry in the Skinnydipper Sun Run 5K and the AANR-SW Nude Racing Series. Personalized results will be emailed to those providing an email address. No other organizations will have access to your information.