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Relay for Life Team ‘Get Your Hopes Up!’
Saturday, August 20th at 8:00 amat West Bank Bridge Park, Luling
Color Run
Pre-Registration - Deadline: July 31Ages 14 & up - $20.00 Ages 5-13 - $15.00
On-Site Registration - event date at 7:00 amAges 14 & up - $25.00 Ages 5-13 - $20.00
Registration Form: (Please Print) Age Group: Specify ❏ages 5-13 ❏ages 14 & up
Name: ____________________________________________________________________________
Address: __________________________________________________________________________
Phone: ___________________________________________________________________________
Email: ____________________________________________________________________________T-shirt Size : Please check one Youth ❏Small ❏Medium ❏Large
Adult ❏Small ❏Medium ❏Large ❏X-Large ❏Other:________
As a participant in the American Cancer Society’s 2 Mile Family Fun Color Run, I verify that I have read, understand and accept the terms of this waiver and release. My submission of this form shall act as my legal signature. I understand the nature of this event and the risk involved in participating in this event. I know that running and walking a race is potentially hazardous activity. I understand that I should not participate unless I am medically able to sufficiently trained. I agree to abide by any decision of any race official concerning my ability to safely complete this event. I assume all risk associated with my voluntary participation in this event, including but not limited to traffic and other conditions of the course, falls and contact with other participants and the effects of the weather, including extreme temperatures and precipitation. Knowing these facts, for, and in consideration of, my participation in this race, I for myself, my heirs, executors, administrator and anyone else who might claim, on my behalf, convenient not too sure and fully release and discharge Relay For Life of St Charles Parish and the American Cancer Society, the parish of St Charles, race participants, race officials, workers, volunteers, and any and all officers, directors, employees and other representatives of the foregoing and any successors or assigns of the foregoing, and hold and waive them harmless from and against ANY AND ALL actions, claims, injuries, demands, liabilities, loss, damage or expenses, including but not limited to death, personal injury, and property damage, whether foreseen or unforeseen, arising out of, or in the course of , my participation in this event. The above has been read and all participants and by signing this entry form, I understand and agree with all the terms of the waiver statement.
Pre-Registration includes T-shirt, Relay for Life Metal & Race PacketOn-Site Registration includes above list while supplies last.
Signature of Applicant: _______________________________________________ Date: ________________
Signature of Parent/Guardian: _________________________________________ Date: ________________(if participant is under age of 18)
Mail registration form and payments made payable to:Hope Church St Charles Attn: Color Run P O Box 1776 Luling, LA 70070
email questions to [email protected]
2 Mile Family Fun
