Bed Race Entry Form

June 16, 2017

Team Name:
Team Captain:
Contact Address:
Sponsor Name:
Sponsor Address:
Entry Fee:  $25.00  (check only) made out to Dew Days and mailed to Bed Race Entrant, PO Box 124, Farmington, MN 55024.  Entry forms and payment are due by June 12, 2017.  Contact Amanda Stender (astender@pellicciace.com) or Jenna Pellicci (jenna_pellicci@anchorlink.com)  with questions.



Bed Race Liability Waiver

In consideration of your accepting my team's entry, I hereby waive and release any and all rights and claims for damages I may have against C.E.E.F., the Dew Days Committee, and/or the City of Farmington and its representatives, successors and assigns for any and all injuries suffered by myself at this activity. 

Before submitting this form, please make sure you have read the
Bed Race Rules and Regulations

Attach team listing (up to 9 members - leave space for signatures to be signed prior to the race):
Word Verification: