Leaf Peeper Registration Form

If you would like to register for the Cortland County Half Marathon Online Registration please fill out the form information below. For more details on the race, please click here.

A red asterisk (*) indicates a required form field.

	Contact Information
*	Name:
*	Address:
*	E-Mail:
*	Phone:
*	Age:
	Date of Birth:
	Sex:
	T-Shirt Size:
	I agree to hold harmless from liability form injuries to our person the sponsoring organizations including but not limited to the YMCA, the city of Cortland, race officials, committee members, and other sponsors of the event. I attest that I am physically fit and have trained sufficiently for this event. I hereby grant my full permission to use any photographs, videotapes, recording, or any other record of this event for any legitimate purpose.
	Payment Information Pre-registration cost is $15 or Race-Day registration will be $20. Please indicate below how you will be paying: You can contact (607) 756-2893 with your credit card number to pay over the phone.