Step and Sip

Name *

First Name

Last Name

Phone *

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*

I certify that I am physically able to participate in this event and I acknowledge the associated risks, including but not limited to the effects of weather, traffic conditions and conditions of the road and terrain. I assume all risks associated with participating in the event and I waive and release any claims that may arise against Brick City Run Club, or their representatives or volunteers, successors or assignees for any injuries that may be suffered by me during this event. I further authorize the use of my name and photo for event publicity.