Breast Cancer Awareness Walk
Event Timing: October 21, 2023
Event Address: Festival Park, 16 Crawford Circle, Portsmouth, VA 23704
Contact us at (757) 235-4119
Registration begins at 8am
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Email *
Full Name *
Phone Number *
Registration Type *
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Group/ Team Name
Donate $5 to the Cause.
Name one person you are walking in honor of. 
Their name will be placed on a "Pink Ribbon" along the race route. You are able to take the ribbon as a token on race day.
To Donate:
In the description line write "Find A Cure"
Cash App: $outreach08
PayPal: Payment Link
Credit Card: Payment Link
Emergency Contact Phone Number *
Emergency Contact Name *

In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right and claims for damages or injuries that I may have against the Event Director, Registration Company, Race Timer/Management Company, Event Municipality/Permitting Org, Event Host Property and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.

I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typical found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.

In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

This event follows the standard running industry policy: all entry fees are non-refundable. When you register for this event, you are making a non-refundable purchasing decision and must agree to this policy. You may not give or sell your number to another individual outside of the authorized transfer policy and process - if you do, this will result in disqualification and banishment from this event. This policy stays in effect whether you are injured, have an unexpected business or family emergency, illness, pregnancy, etc. There are NO exceptions. Once you register, unrecoverable race course services and items are paid for you as if you will be attending the event.

In consideration of being allowed to participate on behalf of Event Name and related events and activities, the undersigned acknowledges, appreciates, and agrees that:

1.            Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

2.            I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3.            I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,

4.            I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS the Community Outreach Coalition, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

If in effect at the time of the event as it applies to my participation in this race, I  agree to abide by the Center for Disease Control (CDC)'s recommendations for the prevention of the spread of COVID-19 and attest to having read the CDC's guidance at: https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html.  I also agree to abide by any COVID-19 distancing and other safety guidelines issued by the state, the community or by this race for my participation in this race.

Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes.

By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver.


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