Before June 20:
After June 20:
Students 12th grade
Family members running with a Student:
OR DOWNLOAD THIS FORM AND MAIL IT!
MUST BE POSTMARKED BY JUNE 20TH FOR EARLY BIRD REGISTRATION PRICING.
The Filling Station
RE: Freedom Fun Run
PO Box 113
Clark Fork, ID 83811
Please include your check made out to The Filling Station for the appropriate amount.
Please do not send cash.
Race Release: In consideration of acceptance of this race entry, I, for myself, my heirs, executors, administrators and assigns, forever release and discharge any and all rights, demands and causes of suit or action known or unknown, that I may have against Haden's Heart Fun Run, The Filling Station Inc. the City of Clark Fork, and any and all participating race sponsors and their Directors, officers, employees and agents of such parties, for any and all injuries in any manner arising or resulting from my participation in said race. I attest and verify that I have full knowledge of the risks involved in the race, that I assume those risks, that I will pay my own medical and emergency expenses in the event of an accident, illness or other incapacity, regardless of whether I have authorized such expenses, and that I am physically fit and sufficiently trained to participate in this race. Furthermore, but clicking submit above, I confirm that I am 18 or older and acting on my own behalf, or that my parent/guardian has approved my participation in this event.
Proceeds go to The Filling Station Youth Center in Clark Fork, ID.
The Filling Station is a Christian non-profit 501C3 organization serving the youth in the Clark Fork valley. fillingstationyouth.com
Official Freedom Fun Run Entry Form
(Formerly Haden's Heart)
4th of July 5K Run
Starts at 7:00 AM at The Filling Station
(1st & Main in Clark Fork, Idaho)