Fun Run/Walk Registration
Date of Birth
Waiver: I am physically able and properly trained to participate in this race. In consideration of the acceptance of my application, I, my heirs, executor, successor and assigns do hereby acquit and forever discharge the county of Union, event sponsors, Oak Ridge Park, Township of Clark, race director(s), agents, volunteers, and persons involved in the promoting of this race from any and all claims, causes of action, demands, rights, damages, costs, loss of service, expenses and compensation which I may hereafter accrue of or in unforeseen damage and consequences resulting or to result from my participation in the “Jump Start Your Heart” event held Sunday, October 13, 2019 in Clark, NJ. I also give my permission for the use of my name and/or picture in any newspaper, broadcast, telecast, or other account of this event.
I agree to the terms of the wavier and am over the age of 18.
Send me a copy of my responses.
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