2nd Annual HSMS Color Run
Event Timing: April 30, 2022  9:00am
Event Address: Heber Springs Middle School 602 Case St  Heber Springs, AR 72543
Contact us at parentaux.hsms@gmail.com    Tiffany Bonkoski 501-556-2004
Sign in to Google to save your progress. Learn more
Name  (Separate form must be filled out for each participant) *
Grade
Phone & Email *
Emergency Contact  Name and Phone Number *
T-shirt size  (Form must be submitted by April 11 to ensure that you receive a t-shirt)
Clear selection
Registration Fees   Payment may be made at school with cash or check.  Make sure that your name and phone number are on the envelope.    Payments may also be sent via CashApp $HSMSParentAux or Paypal @HSMSParentAux   (friends and family)   Please check how payment will be made. *
Required
LIABILITY WAIVER:  I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able. I also know that police there will be a possibility of traffic on the course. I assume the risk of but not limited to falls, contact with other participants, the effects of the weather, including high heat and humidity, and the conditions of the roads, all such risks being known and appreciated by me. Furthermore, I agree to yield to all emergency vehicles. I also am fully aware that pushing, pulling, dragging, or leading anything or anyone is strictly prohibited. (Sunglasses, safety glasses, bandana, and/or face masks are encouraged.) Furthermore, I agree not to go back onto the course after finishing the race.  Knowing these facts, and in consideration of your accepting my entry, I hereby for myself, my heirs, executors, administrator or anyone else who might claim on my behalf, covenant not to sue and waive and release and discharge any and all race sponsors (Heber Springs Middle School and Heber Springs School District, volunteers, police and fire officers (City of Heber Springs), employees, agents or any of the foregoing, including any and all claims or liability for death, personal injury or property damage of any kind or nature whatsoever arising out of, or in the course of, my participating in this event whether same because by negligence or fault. This release and waiver extend to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to sponsors or agents authorized by them to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose. Minors accepted only with a parent or guardian's signature. Children under 10 must be accompanied by an adult or older sibling.    PLEASE CHECK THE "I AGREE" BOX TO CONTINUE. *
Required
Follow Heber Springs Middle School Parent Auxiliary on Facebook for updates.
 Payment may be made at school with cash or check.  Make sure that your name and phone number are on the envelope.    Payments may also be sent via CashApp $HSMSParentAux or Paypal @HSMSParentAux   (friends and family)   Please check how payment will be made in the fees section above.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy