JB Charleston - Warrior Challenge 5k Mud/Obstacle Run
Participation limited to first 600 to register!
Must be 16 or older to participate.
To sign up, please complete all required information found on this form and agree to the Liability Waiver.
YOU DO NOT NEED TO FILL OUT A SEPARATE FORM FOR A MINOR. You will be able to add a minor to the end of your form.
Participant Last Name
Participant First Name
Participant Phone Number
Adult S/Child Large
Emergency Contact Information (Name, Phone Number, & Relationship)
Release & Waiver
ALL ATHLETES MUST READ AND SIGN. PLEASE READ CAREFULLY BEFORE SIGNING THE ACKNOWLEDGMENT, WAIVER AND RELEASE FROM LIABILITY (AWRL). I acknowledge that this Joint Base Charleston - Weapons Station (JBC-WS) Fitness & Sports event is a test of a person’s physical and mental limits and carries with it a potential for death, serious injury, and property loss. I HEREBY ASSUME ALL RISKS OF PARTICIPATING IN THIS EVENT. I certify that I am physically fit, have sufficiently trained for participation in this event, and have not been advised otherwise by a qualified health professional. I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns, or anyone else who might claim or sue on my behalf, and I expressly acknowledge that it is my intent to take these actions: (a) I AGREE to abide by the competitive rules adopted by The Fitness & Sports event staff (b) I AGREE that prior to participating in this event, I will inspect the race course, facilities, equipment, and areas to be used and if I believe any to be unsafe, I will advise the person supervising the event, activity, facility, or area; (c) WAIVE, RELEASE, AND DISCHARGE FROM ANY AND ALL CLAIMS, LOSSES, OR LIABILITIES FOR DEATH, PERSONAL INJURY, PARTIAL OR PERMANENT DISABILITY, PROPERTY DAMAGE, MEDICAL OR HOSPTIAL BILLS, THEFT OR DAMAGES OF ANY KIND, INCLUDING ECONOMIC LOSSES AND LOSS AND/OR STOLEN ITEMS, WHICH ARISE OUT OF OR RELATE TO MY PARTICIPATION IN, OR MY TRAVEL IN TO AND FROM THE EVENT, THE FOLLOWING PERSONS OR ENTITIES: The DoD, US Air Force, The JBC-WS Fitness & Sports sponsors, race directors, employees, event owners, volunteers, the state, city, county, or locality in which this event or segments of this event are held, and the officers, directors, employees, representatives, volunteers, and agents of any of the above even if such claims, losses, or liabilities are caused by the negligent acts or omissions of the persons I am hereby releasing or are caused by the negligent acts of any other person or entity; (d) I ACKNOWLEDGE that there will be traffic on the course route, and I ASSUME THE RISKS OF RUNNING AND PARTICIPATING IN THIS EVENT. I ALSO ASSUME ANY AND ALL OTHER RISKS associated with participating in this event including but not limited to falls, contact and/or crashes with other participants, effects of weather including heat and/or humidity, defective equipment, the condition of the roads and railroad crossings, water hazards, and any hazard that may be posed by spectators or volunteers all such risks being known and appreciated by me, and I further acknowledge that these risks include risks that may be the negligence of the persons or entities mentioned in paragraph (c) or other persons or entities; (e) I AGREE NOT TO SUE ANY OF THE PERSONS OR ENTITITES MENTIONED ABOVE IN PARAGRAPH (c) for any of the claims, losses, or liabilities that I have waived, released or discharged herein; (f) I INDEMNIFY AND HOLD HARMLESS THE PERSONS AND ENTITIES MENTIONED IN PARAGRAPH (c) for any and all claims made or liabilities assessed against them as a result of (i) my actions or inactions, (ii) the actions, inactions or negligence of others including those parties hereby indemnified; (iii) the conditions of the facilities, equipment, or areas where the event is being conducted; (iv) the Competitive Rules; or (v) any other harm caused by an occurrence related to this event; and (g) I GRANT PERMISSION for the use of my name and/or likeness relating to my participation in this event, and I waive all right to any future compensation to which I may otherwise be entitled as a result of the use of my likeness.
BY AGREEING BELOW, I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER AND HAVE READ, UNDERSTAND, AND AGREE TO THE CONTENTS OF THIS WAIVER AND RELEASE OF LIABILITY.
Are you also signing up a minor (16+ only)?
No, I am not signing up a minor and wish to submit this form
Yes, I am signing up a minor and need to fill out a minor waiver.
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