Consideration of the acceptance of this entry into:
The St. Patrick Catholic Church and School Family Fun Run 5K/1Mile to occur on: Saturday, June 15, 2013,
I, the undersigned, for myself on behalf of any other minor persons (the “Minors”) for whom I have by signing below given permission to participate in the Event, intending to be legally bound, hereby, for myself, for the Minors, and for me and my Minors’ heirs, executors, administrators, waive and release any and all rights and claims for damages or otherwise that I or the Minors may have against any of the persons or entities involved in the organization or sponsorship of the Event (including but not limited to St. Patrick Catholic Parish, St. Patrick Catholic School, and any persons working for or volunteering for any such
entities) arising out of mine or the Minors’ participation in the event, even though that liability may arise out of negligence or carelessness on the part of the persons or entities named in this waiver. For myself and on behalf of the Minors, I/we assume all risks associated with participating in the Event, including but not limited to falls, contact with other participants, the effects
of weather, traffic and the conditions of the course, any injury or medical event to me/us, all such risks being known and appreciated by me; I attest and verify that I/we will participate in the Event by running or walking, that I/we am/are physically fit and sufficiently trained for the completion of the Event, and that my/our physical condition has been verified by a licensed Medical Doctor; I hereby grant full permission to any and all of the aforementioned parties to use for any legitimate purpose my/our
name(s) , likeness(es), and voice(s), as well as any photographs videotapes, motion pictures, recordings or any other record of the Event in which I/we may appear; and I waive any right to refund any of the registration fee for any purpose, including my/our failure to participate or cancellation of the Event. I also understand that by filling out this registration, and paying my registration fees I am hereby agreeing to the Waiver for myself, and on behalf of any other minor person(s) for whom I have
registered. By signing here, or paying the registration fee, I agree to the terms and conditions of the aboveAssumption of Risk, Release and
Waiver of Liability
