Register For
Chatham Jaycees Fishawack Run

Chatham, NJ 07928

Registrant #1

Who are you registering? *


By selecting this box, you are indicating that you are the parent/guardian of the person you are about to register. Additionally, if the child is under the age of 13, you are consenting to the collection and use of the information about the child for the purpose of the registration as described in our privacy policy.

Have An Account?

Basic Info

To be able to access / edit your registration.

Additional Information

Format: mm/dd/yyyy
Used for age group calculations
Format: ###-###-####

Address

Choose Your Event(s) *

$30.00 + $3.75 SignUp Fee

$30.00 + $3.75 SignUp Fee

Waiver

In consideration of this entry being accepted, I hereby for myself, heirs, executors, and administrators waive and release any claims that I may have against Chatham Borough, Chatham Township, Chatham Jaycees, Chatham Borough First Aid Squad, and all sponsors of the run, or their representatives, successors, or assignees for any injury including but not limited too fractures or failures of any bodily function, resulting either from exertion or the failure to provide adequate or properly administered first aid that may be suffered by me in this event. I also give permission for the use of my name and/or picture in any newspaper, broadcast, telecast, or other account of this event. I certify that I am in physical condition for this event.




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