2017 Emerald Undie Run Registration
First Name
Your answer
Last Name
Your answer
UO Email Address
Your answer
UO '951' ID Number
You will be required to show your UO Student ID at check in.
Your answer
Mobile Phone Number
Your answer
Liabilities (please read carefully)
I assume all risks associated with this event including, but not limited to, falls, contact with other participants, and lost or stolen items; all such risks being known or of which I am aware and which are understood by me. I hereby further understand that and knowingly undertake the risks inherent in the conditions of a festival/concert atmosphere. I will abide by all festival/concert rules. Having read this waiver and knowing these facts, and in consideration of your accepting my entry to participate in the Emerald Media Group's EmeraldFest/Undie Run, I, for myself and anyone entitled to act on my behalf, waive and release Emerald Media Group, Inc., all sponsors, and their respective officers, directors, agents and representatives associated with the event (“Released Parties”) from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of the negligence or carelessness on the part of one or more Released Parties. I hereby give my permission to the event organizers and sponsors to use my name and/or picture in any publication, broadcast, telecast or other account of this event without limitation or obligation of further compensation thereof. By signing this waiver and release I am signifying that I fully understand its significance and take all responsibility.
Signature
By signing your name you agree to the above statement (please type full name).
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Emerald Media Group. Report Abuse - Terms of Service - Additional Terms