|Step 1 of 2 - Participant Registration|
|Address 1||Address 2|
|State / Province|
Use 2 digit code for US and Canada
otherwise, leave blank.
|Country (only if outside of the U.S. and Canada)|
Leave blank if address is within US or Canada.
|Zip / Postal Code|
|Primary Phone Number|
Required... please provide your primary number.
Optional... provide an alternate phone number.
Participant's active Email Address... check for accuracy.
|Participant's Date of Birth|
Gender: M for Male, F for Female.
We're pleased to offer a high quality cotton short sleeve shirt to pre-registered participants. As we all have plenty of wicking technical shirts now we wanted to provide a shirt you would enjoy wearing when you are not running. We will strive to get X-small sizes, but if not available will substitute a small. Shirts will come in women's cut when applicable.
|Emergency Contact Name||Emergency Contact Phone Number|
What is your Preferred Starting Time?
Required... please help with our planning by providing your preferred starting time. Participants of our 38-mile night fun run may start at any time on Saturday evening from 5:00 pm -to- 8:00 pm. Prior to your start... be sure to check in with race officials.
|What is your Predicted Finish Time?|
Required... please help with our logistics by providing an estimation of your finish time.
Are You an active Member of the Ice Age Trail Alliance?
Members only... select Yes above if you're an active member of the Ice Age Trail Alliance (otherwise, leave blank). Active members may qualify for a registration discount. Note: Membership will be verified.
Charitable Donation to Ice Age Trail Alliance
Optional... please consider an additional charitable donation. We're pleased to donate a portion from each registration to the Ice Age Trail Alliance, whose mission is "to create, support and protect the Ice Age National Scenic Trail." Your additional charitable donation will go directly to this worthy cause, with which we maintain a close partnership.
Contributions will be matched dollar-for-dollar, up to $5,000, by Kettle 100 Endurance Runs!
I know that running a trail race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of race officials relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, becoming lost, injuries or illness from animals or plants, the effects of weather and all risks associated with event participation. Having read this waiver and knowing these facts and in consideration of you accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the State of Wisconsin, Ice Age Trail Alliance, Kettle Moraine 100 Endurance Runs and all race officials, volunteers and agents, all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. Athletes who do not follow course rules, general good sportsmanship or race day guidelines put forth by the race director’s will face potential disqualification and loss of eligibility for future events. The race directors and their contracted partners, including Focal Flame Photography (official race photographers), reserve the right to use photos taken during the event for webcast, current and future promotion online and in social media. Agree to waiver by checking here.
By agreeing to this waiver you submit to the terms and conditions as set forth by this event and certify that you have provided true and accurate information as requested through this registration process.