Team Name:

Your Email Address:

Your Phone Number:

Your Street Address:

Your City, State Zip:

Check Number:

Mail check for $15.00 - instructions below.

WAIVER
We, the undersigned, acknowledge that we are physically able to complete the bed races and accompanying obstacle course. We hold the sponsors, the St. Marys SummerFest, or the City of St. Marys harmless for any injuries that may result. (Signatures must be collected prior to competition.)

Team Members:

Thank You!
Your information is being sent to the Bed Race Contest organizers c/o Lisa Katterhenry Howe ~ lisahowe@bright.net.

Make Checks Payable To: "LACO Laundry & Dry Cleaning." Write the words "Bed Race Online" on the Memo line of your check. The above registration information AND your $15.00 Registration Fee must be received before August 10, 2000 at the following location: