#LOVERUN #SHELBYSTRONG (fundraiser)
Please fill out this waiver to participate in this event
Name *
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Email Address *
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Phone Number *
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Age *
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In consideration of being allowed to participate in any way in the event, related events and activities, the undersigned acknowledges, appreciates, and agrees that:1. The risk of injury from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline made reduce the risk, the risk of serious injury does exist; and 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and 3. I am the parent or legal guardian of the Event participant. I am legal age and am freely signing this agreement on behalf of the participant. I have read this form and understand that by signing this form, I am giving up legal rights and remedies on behalf of myself, the Event participant and his/her family, estate, heirs, and/or assigns. I HEREBY RELEASE AND HOLD HARMLESS, any and all persons, 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 (“Releases”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, ANS SIGN FREELY AND VOLUNTARILY *
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T~Shirt Size *
How will you be paying the $25 registration fee (team 5/$100) *
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