WAIVER RELEASE FORM Registration Fees: RACE ROUTE:

Slides:



Advertisements
Similar presentations
SMG FUN RUN SATURDAY April 26 TH 2014 The SMG Fun Run/Walk 5K and 1 Mile: Running for Fitness, Faith, and Fun Benefiting Physical Education Programs and.
Advertisements

Thunderbirds Youth Clinic Come out and tip-off the basketball season with a bang! Meet the Thunderbirds team and learn fundamental basketball skills that.
Zz Faf Fairport Foundation 5K Race to B Benefit Potter Park Veterans Memorial DATE: Saturday, November 9 th, 2013 TIME: 9:00 am PLACE: Veterans Memorial.
I would like to join the Chaos Kids Club (All Fields Required) Name: ___________________________________________ Address: _________________________________________.
RACE COST All pre-registered participants will receive a T-shirt Pre Registration Must be registered by October 17, 2012 $25.00 After October 17, 2012.
TRA June 2006, Burr Oak State Park. (937) TRA Burr Oak State Park,
STUDENT FIELD TRIP INFORMED CONSENT, ASSUMPTION OF RISK AND RELEASE FORM This document sets out a description of a student field trip (the "Program") and.
Presented by Graduate Management Association at BOSTON COLLEGE Carroll Graduate School of Management Sunday, April 26, 2009 Boston College Chestnut Hill,
Saturday, September 26, :30 am Boonton Township, NJ * Tech Shirts to first 1,000 registrants * * Flat/Fast Course * Relay Option * * Post Race Beer.
St. Joseph Catholic School Booster Club Bruin Burn 5K Run/Walk and 1 Mile Fun Run Saturday- July 18, 2015 Name: Address: City, State, Zip: RACE TO BEGIN.
The Antietam National Battlefield is the place to be on August 1, 2015! Come join us on a warm summer morning to help support a wonderful cause: CHARGE.
(WAIVER) I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained.
Disclaimer: In consideration of the furtherance of your purpose, objective and work, and in consideration of your permitting me to participate in your.
 5 K Runner  Female  I am unable to participate, but please accept my  Walker5K or 1 mile  Male donation of $ ________________ First Name___________________Last.
T THE UNIVERSITY OF THE PHILIPPINES-COLLEGE OF MEDICINE in collaboration with POSTGRADUATE INSTITUTE OF MEDICINE and THE UNIVERSITY OF THE PHILIPPINES.
All Proceeds from the Race go towards Youth Missions. Make checks out to Vidalia First Baptist–5K and mail with entry form to: Vidalia First Baptist 5K,
 ………… ……………………………………… …………………… …………………… ……………………… ……………  First Name _______________ Last Name _______________________ ________________________________.
1 ST ANNUAL1 ST ANNUAL WARRIOR CHALLENGE 5K CAMP SCHWAB For More Information Please Call: SCHWAB ATHLETICS Sports Office: Issue Room:
Showcase Individual Application Form 1. Family Details Were You Born In The Philippines Y or N If you circled Y what city were you born in__________________________________________________.
Registration Form: please print legibly Colonel Charles Young Trail Ride: Riding to Fight Diabetes  Yes, I want to participate in the Colonel Charles.
Name:Birth Date: Phone Number: Emergency Contact (Name and Phone Number): Address: Preferred Division: Prone / Drop Knee / BothSex: M / F TEAM SECTION.
Liability & Publicity Release In consideration for receiving permission to participate in this event, I shall indemnify, waive, release, and forever discharge.
1st ANNUAL 5K RUN/WALK & 1-MILE FUN RUN Saturday, May 7, 2011 Tawawa Park, Sidney, Ohio TIME: Registrations will begin at 7:00 a.m. at the Geib Pavilion.
Racing with Rotary Join Valdosta Sunrise Rotary in this charitable event benefiting Keep Lowndes Valdosta Beautiful and the Rotary Foundation 5K Road Race.
5 Mile Run and Walk - Thursday, November 23, 2006 of Oak Grove Mississippi Tank.
5K Run/Walk Registration Form June 1, 2013 Lance Corporal Patrick B. Kenny Memorial Field I plan on participating in the (check one): _____5K Run_____5K.
GLEN BURNIE IMPROVEMENT ASSOCIATION 5K RUN & FUN WALK SATURDAY OCT 2, :00 AM GLEN BURNIE CARNIVAL GROUNDS Glen Burnie Improvement Association,
Since 2000, the Autism Assistance Fund has donated over $250,000 to support children with autism spectrum disorders in North Mississippi to provide hope.
The Amazing Adventure To End Homelessness “The Game of Life” An outdoor, interactive team/family event! September 19, 2015 Faith United Methodist Church,
Registration Form Cooper River For More Information: Call the Jingle Bell Run/Walk HOTLINE (in NJ) x 313
HIGHLIGHTS  Entertainment and post race food provided  Raffle prizes  Course in the scenic Sandbridge community  5K Technical shirt and 1M cotton shirt.
RACE CATEGORY PRCC 3.5km or 7km SUP Race Men’s / Women’s Novice / Elite OUTRIGGER – OC1 - 7 km Race SURFSKI - 7km Race PRCC COMMUNITY DRAGONBOAT - Each.
SATURDAY, DECEMBER 5, 2015 MIDWAY MIDDLE SCHOOL at 9:30am by the tennis courts Midway Middle School PTA Jingle Bell Run 5K & 1 Mile Run/Walk 2015 Pre-Registration.
Alpha Phi Omega Presents the 2 nd Annual: TCNJ’s Feed our Friends 5K and Fun Walk All proceeds benefit the Trenton Area Soup Kitchen & HomeFront. Saturday,
Race Divisions - Male and Female: Open 1, 9 and under 1, , 20-29, 30-39, 40-49, 50-59, 60-69, – Age graded division Race Course: Mix of.
Activity & Event Acceptance Form (Each participant needs to complete this form) Last Name ________________ First Name___________________ M.I. _____ Date.
Win the 2016 Run in the Dark Storehouse Cup! 17 th Annual Run in the Dark Saturday, September 17, 2016 Bluestem Park at Alliance Town Center 9800 Hillwood.
EACH PARTICIPANT MUST COMPLETE AND SIGN A FORM
SALUTE THE TROOPS MEMORIAL DAY WEEKEND RACES
Return this form with your check payable to:
Basketball Woodway Family Center
Transition & Registration YELLOW CREEK STATE PARK
Petrolia Ball Hockey League
5K Run for Disabled Sports USA
Return this form with your check payable to:
Verizon Parking Lot, Maple Ave.
Tough Mudder UK 2015 Gold Bond application form
YOUTH INDOOR SOCCER LEAGUE
Martin United Methodist Church Food Pantry Fund Raiser
Registration Form 6th Annual Race at the Ranch 5K – 1 Mile Fun Run
Merrymount Association Annual Turkey Trot (2.5 mile Run or Walk)
General Tournament Information MAIL REGISTRATION FORM & ENTRY FEE TO:
***PLEASE WRITE LEGIBLY AND COMPLETE ALL INFORMATION BELOW***
22900 Huron River Drive, New Boston, MI 48164
Bring this form Day 1 of Camp or You may mail Registration
2018 – 6th Annual YouthQuake 5K Run / 1 Mile Fun Walk
Capon Bridge Fitness Center Sunday, September 30th, :00 AM
Return this form with your check payable to:
2018 GLAMPER SHOW REGISTRATION & ENTRY FORM
Schlathaus Park Race 5K Run and 1 Mile Kids' Run Pumpkins to all kids!
22900 Huron River Drive, New Boston, MI 48164
The Legends for kids! 1 mile fun run
6th Annual Tiffany Thomas Memorial Fishing Tournament
Street Rod & Classic Car Show Registration Form
2019 – 7th Annual Youthquake 5K Run / 1 Mile Fun Walk
NON-SLIP WARRANTY AND WAIVER
Max Richey Street Pole Vault SATURDAY, July 1st
sign up online at gopherarun.com
TEAM NAME: ________________________________ TEAM LEVEL: ______________
Saturday March 12, 2016 * 10:00am * Ginty Field Morris Township, NJ
Presentation transcript:

WAIVER RELEASE FORM Registration Fees: RACE ROUTE: RACE BIB No._________ 16 December 2012: Iligan City GTC OFFICIAL ENTRY FORM Reminders to Runners: Race kits will be provided while supply last . For “sure singlets” please register on or before December 3, 2012. After which singlets will be subject for availability Be conscious of the gun time. CATEGORY ASSEMBLY TIME GUNSTART 5K 4:45 AM 5:30 AM 3k 5:35 AM 5:45AM 2k (Kiddie run) 12 yrs. old below 6:00AM 6:15 AM REGISTRATION FORM Date:   NAME: Address: Landline / Mobile number: SEX: Age: Singlet Size: XXS XS S M L XL XXL Green Card Holder No._____________ Registration Fees: 5K P300 with singlet and race bib 3K P300 with singlet and race bib 2K (Kiddie run) P270 with singlet and race bib RACE ROUTE: 2K (Kiddie run 12 yrs. old below) From GTC to Hinaplanon Brgy. Hall as Turning point.. 3K From GTC to Prk. 2A Katipunan , Hinaplanon In Front Stockyard as 5K Turning point at Upper Hinaplanon Crossing Bliss Housing as turning point. WAIVER RELEASE FORM In consideration of my entry, I, my heirs, executory and administrators release and forever discharge the organizers, local government, their servants and subcontractors and all volunteer community groups, and all organizations assisting this event; sponsors, producers, their agents and representatives of all liabilities, claims damages, or cost which I may have against them arising our of, or in any way connected with my participation in this event. I understand this waiver includes claims based on negligence, action or inaction of only of the above parties. I fully recognize the difficulty of this event and declare that I am physically fit and able to complete in this safety, and have not been told otherwise by a medically qualified person. I agree that in the event of race cancellation due to storm, rain, inclement weather, wind or any other enforceable, or “acts of God” conditions, my entry fee shall not be refundable. I have carefully read this entry form and agree to abide all rules and directions of all race officials on the day of the race. ______________________ Print Name & Signature of Parent/Guardian _ _ ___ _ _ __ _ _ __ _ _ _ _ _ _ __ _ _ __ _ _ __ _ _ __ _ _ _ _ _ _ __ _ _ _ __ _ _ CLAIM STUB RACE STUB PACKET Name:_______________________ Singlet Size: XS S M L XL XXL RACE BIB No______________ 2K (Kiddie run 12 yrs. old below) From GTC to Hinaplanon Brgy. Hall as Turning point.. 3K From GTC to Prk. 2A Katipunan , Hinaplanon In Front Stockyard as 5K Turning point at Upper Hinaplanon Crossing Bliss Housing as turning point. RACE ROUTE: CATEGORY ASSEMBLY TIME GUNSTART 5K 4:45 AM 5:45 AM 3k 5:00 AM 6:00 AM 2k (Kiddie run) 12 yrs. old b 6:15AM 6:25 AM