Request edit access
H2O-USA 5K WALK / RUN - Sunday, June 23rd, 2019
Concord Township Park, 6385 Home Road, Delaware, OH 43015
Type of Registration
Individual - $15
Family of Two - $25
Family of Four - $50
Amount Pledged - Every Dollar Counts!
If you have chosen 'Pledge Donation' option for the above question, please enter the amount. Your Donation is Tax Exempt under 501 (c) (3).
I understand that I will have to pay $$ upon arrival, if not paid ahead of time
Terms of Participation: Liability & Publicity Waiver
I know that participating in a 5K walk/run is a potentially hazardous activity. I should not enter and participate unless I am medically able to do so and properly trained. I assume all risks associated with participating in this event, including, but not limited to: falls; contact with other participants; and the effects of weather, traffic, and course conditions, all such risks, being known and understood by me. I am aware that medical support for this event will be provided by volunteer personnel who may be called upon to provide assistance, including first aid, to me during the event. I authorize any such volunteer to assist me or to perform such assistance as, in the opinion of such person, may be necessary or appropriate. I understand that the "Help To Others (H2O) - USA" assume no responsibility or liability with respect to my participation in this event.I agree, however, to abide by any decision of any race official relative to my ability to safely complete the event. I hereby grant permission to the "Help To Others (H2O) - USA", and their sponsors, to use any photographs, motion pictures, videos, recordings, or any record for this event for legitimate purposes. I agree to abide by the rules of this event as stated in all official event information. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, do hereby release and discharge the "Help To Others (H2O) - USA", the County of Delaware, and all sponsors, representatives (including event volunteers) and employees of any of them, from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I understand that there are no registration refunds and no deferrals of registration to a future year. All confirmed orders are final once payment is submitted.
Never submit passwords through Google Forms.
This form was created inside of Help To Others (H2O) - USA.
Terms of Service