Diaper Dash Entry Form

Is your baby a future
Olympic champion?
Find out at Liberty University
Athletics’ second annual Diaper Dash!
The Diaper Dash is open to crawling
babies only and will be held on the
Vines Center floor at halftime during
the Liberty Flames Basketball game
on Saturday, March 1.
To enter the drawing for the Diaper
Dash, fill out the entry form and
return it to Liberty Athletics.
On Wednesday, Feb. 19, we will draw
the names of eight competitors and
four alternates for the Diaper Dash.
The winner of the race will receive
$50 cash and a Liberty Flames
gift pack. All 12 selected families will
receive four free tickets to the game.
Sponsored by
Baby’s Name:
Guardian(s) Name(s):
Home Address:
City, State, ZIP Code:
Phone Number:
Email:
Fun Fact About Baby:
Nickname(s):
I hereby grant Liberty University permission to use photographs of my child in print, Web,
electronic, and video formats, and in other official Liberty University print publications.
SIGNATuRE:
Submit a fun photo
of your baby along
with the registration
form to:
Liberty Athletics
Attn: Dan Adams
1971 University Blvd.
Lynchburg, Va. 24515
Email: [email protected]
Phone: (434) 582-4453