Bed Race 2014
PLEASE FILL OUT BELOW **Please make checks payable to Boys & Girls Club of Noblesville** ______________________________________ Team Name
______________________________________ Rider Name
Bed Race
D-O-B
______________________________________ Runner (1) Name
D-O-B
______________________________________ Runner (2) Name
D-O-B
______________________________________ Runner (3) Name
D-O-B
2014
______________________________________ Runner (4) Name
D-O-B
______________________________________ Alternate Name
D-O-B
______________________________________ Team Contact Name
Phone #
All Bed Racers MUST sign the Waiver of Liability and acknowledgement of the Bed Race Rules and Regulations before participating in the Race! No Racers will be allowed to complete without signing these forms. Rosters are not adjustable! Team members must be 16 years of age!
For Information Contact
Boys & Girls Club of Noblesville Abigail Rinehart. Unit Dir. 317-773-4372 Noblesville Parks & Recreation Mike Hoffmemister, Asst. Director 317-776-6350
All proceeds benefit summer camp scholarships.