• Register all Family members as 5K Family. The first and all subsequent registrations must select 5K Family registration selected.
    Up to 5 Family Members for $80 plus $7.00 Credit Card Processing Fee. Failure to select 5K Family for all family members may result in increased credit card processing fees.

$

I acknowledge that the registered event is an extreme test of a person’s physical and mental limit and carries with it the potential for death, serious injury and property loss. I hereby assume all the risks for participating in this event. I acknowledge that this Accident Waiver and Release of Liability (AWRL) will be used by the event holders, participants, sponsors, service providers, and organizers in which I may participate and that it will govern my actions and the responsibilities at said event.

In consideration of my application and permitting me to participate in the event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows: (A) Waive, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter accrue to me, including but not limited to Blue Raven Race Productions, their directors, officers, employees, volunteers, representatives and agents, the event holders, event sponsors, event directors, event volunteers; (B) Indemnify and Hold Harmless the entities or person(s) mentioned in this paragraph from any and all liabilities or claims make by other individuals or entities as a result or my actions during the event.

I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury, accident and/or illness during the event. This AWRL shall be construed broadly to provide release and waiver to the maximum extent permissible under the applicable law.

I grant permission to the event organizers and Blue Raven Race Productions or Race Sponsors to use my name, image, and photographs, videos, or any other record of my participation in the event for race commercial purposes.

I have read, understand, and agree to the terms of the Accident Waiver of Liability Form.


$3.00
$3.00


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