Turn the Town Blue 5K Family Fun Run/Walk
Event Timing: Saturday, April 13, 2019, 8:30am-9:00am check-in, 9:15am Run
Event Address: Kemper Center, 6501 3rd Ave, Kenosha
Contact Chelsea at (262) 697-4689 for more information
Registration Deadline: Wednesday, March 27, 2019
***Please note that this event is FREE and open to the public***
Name *
Your answer
Email *
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Phone Number
Your answer
Your answer
Number of Individuals in Your Group - Tshirts are no longer available
Your answer
Waiver of Liability *
This agreement releases agencies represented on the Turn the Town Blue committee and the Kemper Center from all liability relating to injuries that may occur during the family fun 5K run/ walk at the Kemper Center on 4/13/19. I agree to hold agencies on the Turn the Town Blue committee and the Kemper Center entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence. I also acknowledge the risks involved in running/walking a 5K. These include but are not limited to breathing problems, broken bones, sprains, scrapes or blisters. I swear that I am participating voluntarily and that all risks have been made clear to me. Additionally, I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in this activity. I forfeit all right to bring a suit against agencies on the Turn the Town Blue committee and the Kemper Center for any reason. I will also make every effort to obey safety precautions as listed in writing and as explained to me verbally. I will ask for clarification when needed.
Consent for Use of Photographs *
Turn the Town Blue Campaign has a Facebook page in which photographs and information are shared about the April events regarding Child Abuse and Neglect Prevention. Photographs will be taken during the 5K Family Fun Run/Walk on 4/13/19 at Kemper Center. I give permission to the Turn the Town Blue Campaign to use photographs of myself and/or my family, including children, in the event they would do a follow up Facebook posting or a news article for publication.
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