International Race Form | pancake-day-usa

International Pancake Day Race
Entry Form

Name

Street Address

Occupation

Spouse

Age

Phone

Employer

Spouse's Employer

Number of Children

Names and Ages of Children

Have you run in the International Pancake Day Race before? If yes, enter the number of years. If no, enter 0.

“I hereby agree to conform to and comply with the rules governing this contest of the INTERNATIONAL PANCAKE RACE, Liberal, Kansas and I further agree to hold blameless the INTERNATIONAL PANCAKE DAY of LIBERAL, INC., the RACE COMMITTEE, and others connected with this contest, for any loss or injury to myself or property in which I may become involved by reason of participation in this contest.”

“I also agree, that in the event I am the winner of the LIBERAL PANCAKE RACE, I will accept no personal appearances outside of Liberal, nor will I run in any other PANCAKE RACE for ONE YEAR subsequent to winning the 2024 International Pancake Race without first receiving consent and sanction of the INTERNATIONAL PANCAKE DAY of LIBERAL, KANSAS, INC., BOARD of DIRECTORS.”

“I have received a copy of the rules today”

Type Your Name Below As An Electronic Signature

Email Address

International Pancake Day Race Entry Form

International Pancake Day Race
Entry Form