2026 Pretzel Polka Run, Walk, Zero K Registration2026 Pretzel Polka Run, Walk, Zero K Registration Name * Name First First Last Last Email * Phone * Team Name How did you hear about this event? Friend Newspaper Social Media Radio Email Poster/Flyer OtherOther Do you want to register any runners? NoYes Runners Name * Name First First Last Last Gender * FemaleMalePrefer Not To Say Birth Date * T-Shirt Size * SmallMediumLargeX-LargeXX-LargeXXX-LargeXXXX-Large Emergency Contact Name * Emergency Contact Name First First Last Last Emergency Contact Phone Number * I agree to the waiver. * In consideration of the acceptance of my entry in The Pretzel Polka Run/Walk Zero K for The Randy Schopen Foundation, JCF on Sept. 19, 2026, I (and my child, if I am signing as parent or guardian) release The Randy Schopen Foundation Inc., The Jefferson Community Foundation, Gemuetlichkeit Days and their respective officers, directors, employees, and agents, the city and county of Jefferson and their respective employees and agents, and all event volunteers, promoters, and sponsors from any liability or claim based on negligence for injury or illness that I (or my child) sustain during my (or my child's) participation in this event. I understand that this release applies to myself (or my child) and my (or my child's) personal representatives, heirs and assigns. I represent that I (or my child) have adequately trained to participate in this event, and recognize that known and unknown risks including falls, contact with other participants, effects of weather and conditions of the road, heart attack, injury to bones, joints and muscles, and death may accompany such participation. I (and my child, if I am signing as parent or guardian) also waive the right I (or my child) have to bargain for different release of liability terms.Run Registration * Registration: $35.00 plus1 Add Another Runner minus1 Remove Runner Do you want to register any walkers? NoYes Walkers Name * Name First First Last Last T-Shirt Size * SmallMediumLargeX-LargeXX-LargeXXX-LargeXXXX-Large Birth Date * Emergency Contact Name * Emergency Contact Name First First Last Last Emergency Contact Phone Number * I agree to the waiver. * In consideration of the acceptance of my entry in The Pretzel Polka Run/Walk Zero K for The Randy Schopen Foundation, JCF on Sept. 19, 2026, I (and my child, if I am signing as parent or guardian) release The Randy Schopen Foundation Inc., The Jefferson Community Foundation, Gemuetlichkeit Days and their respective officers, directors, employees, and agents, the city and county of Jefferson and their respective employees and agents, and all event volunteers, promoters, and sponsors from any liability or claim based on negligence for injury or illness that I (or my child) sustain during my (or my child's) participation in this event. I understand that this release applies to myself (or my child) and my (or my child's) personal representatives, heirs and assigns. I represent that I (or my child) have adequately trained to participate in this event, and recognize that known and unknown risks including falls, contact with other participants, effects of weather and conditions of the road, heart attack, injury to bones, joints and muscles, and death may accompany such participation. I (and my child, if I am signing as parent or guardian) also waive the right I (or my child) have to bargain for different release of liability terms.Walk Registration * Registration: $30.00 plus1 Add Walker minus1 Remove Walker Do you want to register any Zero K participants? NoYes Zero K Participants Name * Name First First Last Last T-Shirt Size * SmallMediumLargeX-LargeXX-LargeXXX-LargeXXXX-Large Birth Date * I agree to the waiver. * In consideration of the acceptance of my entry in The Pretzel Polka Run/Walk Zero K for The Randy Schopen Foundation, JCF on Sept. 19, 2026, I (and my child, if I am signing as parent or guardian) release The Randy Schopen Foundation Inc., The Jefferson Community Foundation, Gemuetlichkeit Days and their respective officers, directors, employees, and agents, the city and county of Jefferson and their respective employees and agents, and all event volunteers, promoters, and sponsors from any liability or claim based on negligence for injury or illness that I (or my child) sustain during my (or my child's) participation in this event. I understand that this release applies to myself (or my child) and my (or my child's) personal representatives, heirs and assigns. I represent that I (or my child) have adequately trained to participate in this event, and recognize that known and unknown risks including falls, contact with other participants, effects of weather and conditions of the road, heart attack, injury to bones, joints and muscles, and death may accompany such participation. I (and my child, if I am signing as parent or guardian) also waive the right I (or my child) have to bargain for different release of liability terms.Zero K Registration * Registration: $30.00 plus1 Add Another Zero K Participant minus1 Remove Zero K ParticipantBilling Address * Billing Address Billing Address Billing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Payment * Submit If you are human, leave this field blank. Δ
