Bust Your Burton 2015

Family Obstacle Course, BBQ & Bluegrass

Saturday, May 30, 11am-2pm
Families and groups of up to 6 people are invited to kick off summer with an extremely silly, not-so-competitive-or-strenuous obstacle course. Prepare to laugh a lot, get a little wet and dirty and maybe even get slimed!

REGISTRATION INSTRUCTIONS:

1. Team Captain must fill out the registration form for the entire team.

2. No more than 6 people per team.

3. All minors must participate with at least one parent/guardian.

4. Team Captain will receive an email with race day details the week before the event. All participants will sign a waiver form on event day.

5. Bust Your Burton will take place rain or shine, so no refunds will be offered!
Participant Information
Indicate the total # of participants in your family/group you are registering. (PLEASE REGISTER THE ENTIRE FAMILY/GROUP AT ONCE) *
Name Your Team! *
Participant 1 *

Name Called Last Name
Participant 1 Age *
Participant 1 T-shirt Size
Participant 2 *

Name Called Last Name
Participant 2 Age *
Participant 2 T-shirt Size
Participant 3

Name Called Last Name
Participant 3 Age
Participant 3 T-shirt Size
Participant 4

Name Called Last Name
Participant 4 Age
Participant 4 T-shirt Size
Participant 5

Name Called Last Name
Participant 5 Age
Participant 5 T-shirt Size
Participant 6

Name Called Last Name
Participant 6 Age
Participant 6 T-shirt Size
Team Captain Information
Team Captain Name

First Name Last Name

Address *

Contact Phone Number

- Area Code Phone Number
E-mail
I am registering as a Bust Your Burton SPONSOR team

Yes! No
Name of Sponsor Business/Organization
Payment

Secure payment can be made by credit or debit card through PayPal. You are not required to have a PayPal account to make payment. To pay without a Paypal account once rerouted to Paypal, click the second option 'Pay with a bank account, debit or credit card, or PayPal Credit.'
Indicate your payment choice below. *

Registration for 1 Participant (Online Payment with Credit or Debit Card) $ 20.00

Registration for 2 Participants $ 40.00

Registration for 3 Participants $ 60.00

Registration for 4-6 Participants $ 70.00
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Family Obstacle Course, BBQ & Bluegrass