2019 Denver City Lax Dash
Runner First Name *
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Runner Last Name *
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Runner Email *
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Runner Cell Phone Number *
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Male or Female *
Runner Birthday *
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Runner Grade *
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Did someone encourage you to sign up for the City Lax Dash? If so, please write their name here.
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Parent Full Name *
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Participant Waiver
Electronic signature of parent or guardian, if participant is younger than 18 years old.
Waiver - Electronic Signature of Parent or Guardian, if participant is younger that 18 years old *
In consideration of the acceptance of my entry in the 2018/2019 RunDenver Series I, for myself, my executors, administrators and assignees, do hereby release, BKB LTD, HAL Sports, City and County of Denver, City of Greenwood Village, and any other contributing sponsors and supporters of this race and their respective officers, members, agents, volunteers and employees from all claims arising or growing out of my participation in the 2018/2019 RunDenver Series. I attest and verify that I have knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate in this event. I give permission for current and future use of my name and picture in any broadcast or print media account of the event as well as permission to receive communications from the event and its sponsors, supporters, and vendors via electronic or print means.-- My child has permission to participate in activities organized, sponsored, or sanctioned by Denver City Lax. I give permission to the Denver City Lax, staff and volunteers to supervise the Denver City Lax related activities involving my son/daughter, and also give my permission and consent to Denver City Lax and any host organization to provide, through a medical staff of its choice, customary medical/athletic training attention, transportation and emergency medical services as warranted in the course of my son/daughter’s participation in all events Denver City Lax may participate in. I am aware of the risks noted above, and in consideration of Denver City Lax accepting and permitting my child to participate with the program, I agree on behalf of myself, my child, and our heirs, and/or personal representatives, that Denver City Lax, any host organization, and any sponsor/hosts of any event Denver City Lax participates in, including but not limited to the Denver Parks and Recreation, along with the coaches, volunteers, employees, agents, officers, directors of any such organization, any medical staff and trainers, shall not be liable for any injury, loss of life, or other loss or damage occurring as a result of my child’s participation in any activity with Denver City Lax, and forever discharge all rights and claims for damages, injuries or loss to the fullest extent allowed by law. I give permission to Denver City Lax to reproduce any quotation, photograph or video of my son/daughter while participation in any on-or off-field Denver City Lax activity. Photograph and/or video reproductions may appear at no cost to Denver City Lax in program reports, grants, newsletters, websites and social media, in marketing materials, and in local/national publications. As legal parent or guardian of this participant, I hereby verify by my signature that I fully understand and accept each of the above conditions for permitting my child to participate in any Denver City Lax and/or related activity. I also acknowledge that my child has my permission to participate in any Denver City Lax activity, and is in satisfactory physical health and capable of playing lacrosse.
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