Chase Your Tale 5K Registration Form
Get decked out as your favorite storybook character and show your support for the Center for Story!
Registration includes a t-shirt and race number.
The race will begin and end at the Orem Public Library on September 28. The Children’s Mile will start at 9:00 AM, followed by the 5K at 9:45 AM.
Stick around afterward for food and fantastic prizes! A Kindle will be awarded to the top male and female finisher.  Medals and books will be given to top finishers in each division, as well as for best costumes.

Please fill out and submit the following form.  
Contact Nathan Robison for any questions: (801)229-7389 or nrobison@orem.org.
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Full Name *
Gender *
Required
Phone Number *
Email *
Age Division *
Required
Race (Select One) *
A link to paypal will be sent when your registration form is processed.
Required
Shirt Size *
Required
This document MUST be signed before participant enters the race. *
I UNDERSTAND THAT MY CONSENT TO THESE PROVISIONS IS GIVEN IN CONSIDERATION OF THE ACCEPTANCE OF THIS REGISTRATION AND FOR ME AND/OR THE MINOR CHILD NAMED BELOW (THE “CHILD”) BEING PERMITTED TO PARTICIPATE IN THIS EVENT. I UNDERSTAND THAT THE MINIMUM AGE OF PARTICIPATION IS FIVE YEARS. I AM EIGHTEEN YEARS OF AGE OR OLDER AND THE PARENT OR LEGAL GUARDIAN OF THE CHILD. I CERTIFY THAT I AND/OR THE CHILD AM A VOLUNTARY PARTICIPANT IN THIS EVENT, AND IN GOOD PHYSICAL CONDITION. I KNOW THAT THIS EVENT IS A POTENTIALLY HAZARDOUS ACTIVITY AND I HEREBY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR ANY INJURY OR ACCIDENT WHICH MAY OCCUR DURING MY AND/OR THE CHILD’S PARTICIPATION IN THIS EVENT OR WHILE ON THE PREMISES OF THIS EVENT, AND I, ON BEHALF OF MYSELF AND/OR THE CHILD, HEREBY RELEASE AND HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST THE CITY OF OREM OR ANY OF ITS AFFILIATES, DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, ANY AFFILIATED INDIVIDUALS, OR ALL OTHER PERSONS OR ENTITIES ASSOCIATED WITH THIS EVENT (THE “RELEASES”) FOR ANY LOSS, LIABILITY, DAMAGE, OR CLAIMS WHATSOEVER (WHETHER SUCH DAMAGE BE KNOWN OR UNKNOWN), INCLUDING ATTORNEY’S FEES IN ANY MATTERS ARISING OUT OF OR RESULTING FROM OR IN CONNECTION WITH MY AND/OR THE CHILD’S PARTICIPATION IN THIS EVENT, PERSONAL INJURY OR DAMAGE SUFFERED BY ME AND/OR THE CHILD OR OTHERS, WHETHER SAME BE CAUSED BY FALLS, CONTACT WITH OTHER PARTICIPANTS, CONDITIONS OF THE COURSE, NEGLIGENCE OF THE RELEASES OR OTHERWISE. IF I AND/OR THE CHILD DO NOT FOLLOW ALL THE RULES OF THIS EVENT, I UNDERSTAND THAT I AND/OR THE CHILD MAY BE REMOVED FROM THE EVENT. I GIVE MY FULL PERMISSION TO THE CITY OF OREM, THE EVENT SPONSORS AND THEIR AGENTS TO USE MY AND/OR THE CHILD’S PHOTOGRAPHS, VIDEOTAPES, OR OTHER RECORDINGS OF ME AND/ OR THE CHILD THAT ARE MADE DURING THE COURSE OF THE EVENT.  (Parent or guardian signature if under 18 years old. Participant must be 5 years of age or older.)
This document MUST be signed before participant enters the race. *
I UNDERSTAND THAT MY CONSENT TO THESE PROVISIONS IS GIVEN IN CONSIDERATION OF THE ACCEPTANCE OF THIS REGISTRATION AND FOR ME AND/OR THE MINOR CHILD NAMED BELOW (THE “CHILD”) BEING PERMITTED TO PARTICIPATE IN THIS EVENT. I UNDERSTAND THAT THE MINIMUM AGE OF PARTICIPATION IS FIVE YEARS. I AM EIGHTEEN YEARS OF AGE OR OLDER AND THE PARENT OR LEGAL GUARDIAN OF THE CHILD. I CERTIFY THAT I AND/OR THE CHILD AM A VOLUNTARY PARTICIPANT IN THIS EVENT, AND IN GOOD PHYSICAL CONDITION. I KNOW THAT THIS EVENT IS A POTENTIALLY HAZARDOUS ACTIVITY AND I HEREBY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR ANY INJURY OR ACCIDENT WHICH MAY OCCUR DURING MY AND/OR THE CHILD’S PARTICIPATION IN THIS EVENT OR WHILE ON THE PREMISES OF THIS EVENT, AND I, ON BEHALF OF MYSELF AND/OR THE CHILD, HEREBY RELEASE AND HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST THE CITY OF OREM OR ANY OF ITS AFFILIATES, DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, ANY AFFILIATED INDIVIDUALS, OR ALL OTHER PERSONS OR ENTITIES ASSOCIATED WITH THIS EVENT (THE “RELEASES”) FOR ANY LOSS, LIABILITY, DAMAGE, OR CLAIMS WHATSOEVER (WHETHER SUCH DAMAGE BE KNOWN OR UNKNOWN), INCLUDING ATTORNEY’S FEES IN ANY MATTERS ARISING OUT OF OR RESULTING FROM OR IN CONNECTION WITH MY AND/OR THE CHILD’S PARTICIPATION IN THIS EVENT, PERSONAL INJURY OR DAMAGE SUFFERED BY ME AND/OR THE CHILD OR OTHERS, WHETHER SAME BE CAUSED BY FALLS, CONTACT WITH OTHER PARTICIPANTS, CONDITIONS OF THE COURSE, NEGLIGENCE OF THE RELEASES OR OTHERWISE. IF I AND/OR THE CHILD DO NOT FOLLOW ALL THE RULES OF THIS EVENT, I UNDERSTAND THAT I AND/OR THE CHILD MAY BE REMOVED FROM THE EVENT. I GIVE MY FULL PERMISSION TO THE CITY OF OREM, THE EVENT SPONSORS AND THEIR AGENTS TO USE MY AND/OR THE CHILD’S PHOTOGRAPHS, VIDEOTAPES, OR OTHER RECORDINGS OF ME AND/ OR THE CHILD THAT ARE MADE DURING THE COURSE OF THE EVENT.  (Parent or guardian signature if under 18 years old. Participant must be 5 years of age or older.)
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