Lewis Drobnick & Ed Goss Memorial Fox Trot
Registration Form

Please submit payment after completing the registration form below.  Payment and information form must be submitted for full registration of event. You will receive a confirmation email once your full registration is received.  Click the below button for payment.
    Terms and Conditions
    Entry and release of all claims: in consideration of the acceptance of my entry in the Lewis Drobnick     & Ed Goss Memorial Fox Trot, I release and hold harmless the City of Omro and Future Omro and its officers, directors, staff and members, any sponsors of the event or any other entities and/or individuals who are in any way connected with this event including volunteers assisting in the event from any liability or claims of injury or illness I sustain during my participation in this event or anyway that is related to this event.  I understand that this release applies to me and my personal representatives, heirs and assigns.  I represent that I have adequately trained to participate in this event, recognize the risks of injury, which accompany such participation and acknowledge that his release is being relied upon by the above persons in permitting me to participate.  I agree to abide by any decision of race official relative to my ability to safely complete the event.  Further, I hereby grant permission to any and all of the foregoing to use my photographs, videotapes, recordings or any other record for any legitimate purpose.  I also understand there will be no refunds in the event of in-climate weather and entrants failure to participate in the event. I also understand the price includes sales tax and a surcharge fee applies to credit card payments. By submitting this form I agree to all these terms.