Bernie’s Annual Bed Race Registration Name: * Street Address: * City:* State: * Zip:* Phone Number: * Date of Birth: * Competition Category: *21 & OverOpen/Family (must have 2 adults on team) Participating Team Name:* Participating Team Captain's Name: * Team Phone Number: **Please Note: Registration Fee is $10 Per Participant (T-Shirt Cost)* After submission of this registration form you will be able to make your t-shirt purchases. Sizes available include: Youth Small, Youth Medium, Youth Large, Small, Medium, Large, X-Large & XX-Large.LIABILITY WAIVERI am willfully participating in the Bernie’s Annual Bed Race. I understand there may be risk of injury to myself or someone in my team. I have been encouraged to wear the appropriate safety equipment by the festival and understand that if I choose not to wear the appropriate equipment, that it is my choice and accept responsibility. I agree to withhold any liability from the Frankton Heritage Days Festival, Bernie’s Bar, and/or the Town of Frankton. I have read the rules and regulations of the race and agree to the terms. A copy of this Liability Waiver must be signed the day of the race and witnessed by Frankton Heritage Days Festival Personnel. Recaptcha Word Verification:SubmitReset