For any questions call the parks and recreation office at 641-472-6159
You can mail or drop off registration with fees at 1000 W. Burlington Ave., Fairfield, IA 52556
Fairfield Park & Recreation Department
Loopy Trail Run REGISTRATION FORM
Name_______________________________________________ Age_________________
Parent Name_________________________________________ Phone___________________________
Address________________________________________ E-mail__________________________
Emergency Phone______________________________________
T-shirt Size: (circle one): YS YM YL S M L XL XXL
I am entering the Loopy Trail Run on May 11th, 2013 at my own risk. I, here by, for myself, my heirs, executor, and administrators waive and release any and all rights and claims I have against the Fairfield Park & Recreation Department, Fairfield, IA and all sponsors for any and all injuries that occur, whether or not caused by the negligence of the released party or otherwise.
Signature: __________________________________________Date:____________________
You can mail or drop off registration with fees at 1000 W. Burlington Ave., Fairfield, IA 52556
Fairfield Park & Recreation Department
Loopy Trail Run REGISTRATION FORM
Name_______________________________________________ Age_________________
Parent Name_________________________________________ Phone___________________________
Address________________________________________ E-mail__________________________
Emergency Phone______________________________________
T-shirt Size: (circle one): YS YM YL S M L XL XXL
I am entering the Loopy Trail Run on May 11th, 2013 at my own risk. I, here by, for myself, my heirs, executor, and administrators waive and release any and all rights and claims I have against the Fairfield Park & Recreation Department, Fairfield, IA and all sponsors for any and all injuries that occur, whether or not caused by the negligence of the released party or otherwise.
Signature: __________________________________________Date:____________________