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First Name:
Last Name:
Address:
Phone:
(h)
(b)
E-Mail:
Race Distance:
5 km
10 km
21 km
T-Shirt Size (Mens):
S
M
L
XL
School Student:
Yes
No
Waiver:
I know that participating in physical fitness events is a potentially hazardous activity. I agree not to participate unless I am medically able and properly prepared. I should not participate without my physician's approval. I agree to abide by any decision of an event official concerning my ability to safely participate. I assume any and all risks associated with the event; including but not limited to, falls, contact with other persons or objects, the effects of weather, traffic, and course conditions. As a condition of entering this event, I release any associated or related entities, their directors, officers, employees, agents, representatives, sponsors, volunteers, and organizers (herein collectively called "Event Organizers"), from present and future claims and all liabilities of any kinds, known or unknown, arising out of my participation in this event or related activities, even though such claim or liaiblity may arise out of negligence or fault on the part of the Event Organizers. I agree that the Event Organizers shall not be liable for any personal injury, death or property loss, and I release the Event Organizers and waive all claims with respect thereto, in the event my registration fees are paid, I agree to be bound by the provisions of this waiver. I grant permission to Event Organizers to use or authorize others to use any photographs, motion pictures, or any other record of my participation in this event or related activities without remuneration. Applications for minors shall be accepted only with a parent's signature and should be signed by the minor.
I understand and accept the above terms
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