Conquer the Hills 2020 -Family/Group Registration Complete the form below to register as a family or group of 2-4 people. Please ensure that you review all of the Event Day rules. COVID - Conquer the Hills Registration - FAMILY RUN Primary Person's First Name * First Primary Person's Last Name * Last Primary Person's Address * Primary Person's Address Address Line 1 Address Line 1 Address Line 2 Address Line 2 City City State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Code Zip Code Primary Person's Phone * Primary Person's Email * Person #2 - First & Last Name Person #3 First & Last Name Person # 4 First and Last Name Are you planning on running or hiking? Hike Run Please read and approve the waiver: * Please read the following statement, and check the box to approve and proceed: In consideration of your accepting this entry, I, intending to be legally bound, hereby waive and release and hold harmless Farmingville Historical Society, Inc., Suffolk County, all sponsors and their representatives, successors and assigns, for any and all liabilities, claims, demands and causes of action whether or not arising in whole or in part out of the negligence of any of the above organizations or individuals. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and my physical condition has been verified by a licensed Medical Doctor. If approved by a parent or guardian, the parent or guardian agrees to release and hold the above-named organizations and personnel harmless of any claims and rights which may be asserted on behalf of the entrant. Further, I hereby grant permission to any and all of the foregoing to use any photographs, video, recordings or any other record of this event for any purpose whatsoever. Submit If you are human, leave this field blank.