2019 – 7th Annual Youthquake 5K Run / 1 Mile Fun Walk Saturday February 16, 2019 8:00 AM Donations from this will be for the Youth Mission Project – Open Door Foundation. A center supporting survivors of human trafficking. Name: _____________________________________ Church Name: _______________________________ Amount Donated: ____________________________ GA District NMI Youth Mission Project 5K / 1 Mile Fun Walk RELEASE WAIVER: I understand that donations are Non-Refundable. 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. I assume all risks associated with running in this event including but not limited to: falls, contact with other participants, the effects of weather, including high heat and humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I for myself and anyone entitled to act on my behalf, waive and release the GA District NMI and other sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the person named in this waiver. Signature: ________________________________________________________________________________________