Dairy Dash Registration Register now! Fill out the form below to register for the 2K Holstein Scamper or the 5K Dairy Dash. Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 Town Postal Code Birth Date(Required) Month Day Year Sex:(Required) Male Female Event:(Required) 5K Dairy Dash Run/Walk 2K Holstein Scamper 5K Dairy Dash Run/Walk Price: 2K Holstein Scamper Price: Age Group(Required) 10 & Under 11-17 18-59 60+ Waiver of Liability(Required) I agree to the Waiver of Liability.Waiver of liability: In consideration of the acceptance of my entry, I hereby for myself, my heirs, executors, administrators, and assigns do hereby waive, release, and relinquish any and all rights and claims including but not limited to those against the Winchester Dairyfest and the Township of North Dundas known and unknown, presently existing or hereafter to exist, for any and all damages, demands, and actions in any manner, I now have as a result of my participation in the Winchester Dairy Dash 5K, 10K or the Holstein Scamper 2K Run/Walk events including travel to and from this event. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and a qualified medical person has not advised me otherwise. Further, I hereby grant full permission and likeness any broadcast, title cast, video or print media for the event without compensation to me.HiddenToday's Date MM slash DD slash YYYY Name First Last Consent I agree that I am the parent/guardian of the minor above.Total Credit Card(Required) Cardholder Name Card Details CAPTCHA
