ENTRY FORM for ISD 706 BLUE AND WHITE 5K FUN RUN October 14, 2017
ISD 706 BLUE AND WHITE 5K FUN RUN
OCTOBER 14, 2017, Olcott Park, VIRGINIA, MN
Check in at 9:00 am. Race start at 10:00 am.
Pre-register by September 22nd, 2017 to guarantee t-shirt on race day.
Mail or drop off 5K payments at the VHS Community Education Office.
Name
Your answer
Address
Your answer
City, State, Zip
Your answer
Age on Race Day
Your answer
Phone Number
Your answer
Email address
Your answer
Gender
Race Day T-Shirt?
Shirt Size
Please mail or drop off 5K payments at the VHS Community Education Office. For more information contact: Misty Elliott at 218-742-3918 or melliott@vmps.org
Waiver of Liability: ALL ENTRY FEES ARE NONREFUNDABLE.
I agree to defend, indemnify and hold harmless the City and ISD #706 and its officials, employees, volunteers, and agents from any liabilities, judgments, losses, costs or charges (including attorneys' fees) incurred by the City or any of its officials, employees, volunteers, or agents as a result of any claim, demand, action or suit relating to any bodily injury (including death), loss or property damage caused by, arising out of, related to or associated with my participation in this running/walking event except to the extent caused by the sole negligence, gross negligence or willful misconduct of the School District and/or City or its officers, employees or agents.
I understand and acknowledge the risks and hazards associated with participating in a running/walking event and hereby assume any and all risks and hazards associated therewith. I hereby irrevocably waive any and all claims against the School District and/or City or any of its officials, employees, volunteers, or agents for any bodily injury (including death), loss or property damage incurred by me as a result of participating in this event and hereby irrevocably release and discharge the School District and the City and any of its officials, employees or agents from any and all claims of liability.
I hereby consent to and authorize the use and reproduction, in print by the Blue and White 5K Fun Run or anyone authorized by the Blue and White 5k Fun Run of any and all photographs which have been taken on this day for any publicity purposes without compensation.

I hereby acknowledge that I have read and understand the terms of this release. If you are under age 18, parent or guardian must sign entry form.

Waiver Agreement
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