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EJC 5K/1.5k Health Run/Walk 2019
First Name *
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Last Name *
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Middle Name *
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Church/Organization
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Contact Number *
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Date of Birth (dd/mm/yr) *
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Gender *
Name of Parent/Guardian ( required for applicants 6 - 12 years)
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Emergency Contact *
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Which activity will you be participating in? *
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Waiver/Release (Please Read)
I understand that participating in any run/walk is potentially dangerous. I will not enter this 1.5K or 5K Run/Walk unless I am at least six (6) years old on race day, properly trained, and medically able. By signing this entry/application form under waiver below, I agree to abide by any decision of a race official (including the marshals) relative to my capacity to safely complete the event including but not limited to collision with other participants, falls, the effect of weather including but not limited to wind, rain, changing humidity and the conditions of road and traffic on the designated run/walk route or path. These are risks that are known and understood by me. Bicycles or bikes and motor bikes are not allowed in the run/walk event. Having read this waiver and knowing these facts and in consideration of EJC's acceptance of my entry/application, I, for myself, and anyone acting on my behalf, waive, release and hold harmless EJC, its related entities, its umbrella union - the Jamaica Union Conference of Seventh-day Adventists (JAMU), the churches within the constituency of EJC, the beneficiaries/recipients of the proceeds, the Sports Medicine Association, the Jamaica Amateur Athletic Association, and all suppliers, all sponsors, all the aforesaid parties, respective Administrators, directors, employees, agents, assigns, representatives and successors and any individual or groups associated therewith, from and against all claims, damages, liabilities, costs and expenses of any kind including reasonable attorney's fees arising out of my participation in the 1.5K/5K run/walk event, even though that liability may arise out of my negligence or carelessness, and/or the negligence or carelessness of any individual or organization named in this waiver. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, verbal or written statement, or any other record of this event for any legitimate purpose. Being of legal age and having read this release, I declare that I fully understand it and freely agree to all its terms.
Medical Condition (s), if any:
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