Northern Michigan Sports Medicine Center - Petoskey and Harbor Springs

Bear River Crawl Registration Form
To register, please submit this online form. Because we have not set up a secure server, we will not accept your credit card information online. Please be prepared to make your payment the morning of the seminar.
Fee $17 by July 19, 2008 $20 Late Registration *Required fields
First Name:	*
Last Name:	*
Address:	*
City:	*
State:	*
Zip:	*
Phone:	*
Date of Birth:	* xx-xx-xxxx
Age:	*
Gender:	Male Female *
Email:	*
T-Shirt Size*: XL L M S

In consideration of my participation in this event, I for myself, my heirs, executors, and administrators, waive all rights and claims for damages I may have against Northern Michigan Sports Medicine and its affiliates, the sponsors of this event, their agents, representatives, successors, and assignees for any and all injuries suffered by me at said event, or which may arise out of my traveling to, participating in, and returning from this event. I further state that I am in proper physical condition to compete in this event I acknowledge that I have read and agree to the above. *

Email Us

Petoskey [Map] Phone (231) 347-9300	Harbor Springs [Map] Phone (231) 348-7002	Charlevoix [Map] Phone (231) 547-0380
Cheboygan [Map] (231) 627-7201	Indian River [Map] Phone (231) 238-4880	Rogers City [Map] Phone (989) 734-7607