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 Entry Form

Ozark Ham & Turkey Festival Healthy 5K Walk/Run

Saturday, September 21, 2019

NO ENTRY ACCEPTED WITHOUT SIGNATURE ON WAIVER

Name: ______________________________________   Phone: _______________ Email:__________________  

Street Address: _______________________________ City: ____________________ State: _____ Zip: _________

Walk ____Run ____Wheelchair Entry____                T-shirts S___M___L___XL___XXL___Other________

M___ F___ Age____ Date of Birth _________

Make check or money order payable to Ozark Ham & Turkey Festival

Mail to California Area Chamber of Commerce, 500 S. Oak St., Ste. A, California, MO 65018.

RELEASE AND WAIVER

I know that running or walking a road race is a potentially hazardous activity.  I know I should not enter and run or walk unless I am medically able and properly trained.  I also know that, although police protection will be provided, there will be traffic on the course route.  I assume the risk of running or walking in traffic.  I also assume any and all other risks associated with running or walking this event including but not limited to falls, contact with other participants, the effects of weather including heat and or high humidity and the condition of the roads, all such risks being known and appreciated by use.  I agree to abide by all decisions of the race officials relative to my ability to safely complete this race.  I agree not to wear headsets during the race.  Knowing these facts and in consideration of you accepting my entry, I hereby, for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant to sue, and waive, release and discharge the Ozark Ham & Turkey Festival, volunteers, and any and all sponsors including their agents, employees, assigns or anyone acting for or on their behalf, from any and all claims or liability for death, personal injury or property damage of any kind or nature whatsoever arising out of or in the course of my participation in this event though that liability may arise out of negligence or carelessness on the part of the persons named in the waiver.

This Release and Waiver extends to all claims of every kind or nature whatsoever, foreseen, known or unknown.

The undersigned further grants full permission to the Ozark Ham & Turkey Festival and/or agents authorized by them to use any photographs or any other records of the event for any purposes.

Application for minors will be accepted only with a parent or guardian’s signature.

____________________________________________        ______________________________

Signature                                                Date

______________________________________________        ______________________________

Parent/Guardian Signature (for Participants under age 18)        Date

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