How to Sign Up
Signing up is easy! Follow the steps below:
Step 1:
Complete the registration form and either fax or mail it to our street address along with your $50 registration donation ($25 for youths 18 and under). If would like to write us a check, please make checks payable to: Marin Breast Cancer Watch.
Step 2:
Collect donations from donors (family, friends or co-workers). These will be collected the day of the event.
Step 3:
Show up and have fun! Don't forget to bring running/hiking shoes, sunscreen, a hat and water.

I would like to:  Hike _____  Run _____
I will start:  Old Mill Park (7.1 mi) _____  Muir Woods (5.1 mi) _____
I will/have collect(ed) donations for a free t-shirt:  S ___  M ___  L ___  XL ___
  
Name: Address:
City: State:
Zip: Phone:
Email:
Payment Method:
_____ Check     _____ Visa     _____ Mastercard     |     Amount ($): ____________
Card Number:
Expiration Date: ___ / ___    Name of cardholder:
Cardholder Signature:
Mail to:

Marin Breast Cancer Watch
25 Bellam Blvd, Suite 115
San Rafael, CA 94901
Voice: (415) 256-9011
Fax to: (415) 256-9773
Donations are tax-deductible. Marin Breast Cancer Watch will provide receipts upon request.

Release and waiver: I understand and acknowledge that the Dipsea Trail has inherent dangers that no amount of care, caution, instruction or expertise can eliminate and I expressly and voluntarily assume all risk of death or personal injury sustained while participating in the running or walking of the Dipsea Trail; and I hereby forever release and discharge Marin Breast Cancer Watch from any and all liabilities, claims or causes of actions that I may have for injuries and damages arising out of participating in the Dipsea run or walk including by passive or active negligence of Marin Breast Cancer Watch or hidden, latent or obvious risks that may exist on the Dipsea Trail.
Parent/Guardian Waiver for minors: The undersigned parent or natural guardian or legal guardian does hereby represent that he/she is, in fact, authorized to act on behalf of and is acting in such capacity and agrees to save and hold harmless and indemnify each and all parties referred to above from liabilities, loss, claim and damages.


Signature: ________________________________________

Parent/Guardian Signature: ______________________________________