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Out With the Old - In With the New

Registrant #1

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Format: mm/dd/yyyy
Used for age group calculations
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Choose Your Event *

Tuesday December 31, 2024

$40.00 + $3.90 SignUp Fee

Wednesday January 1, 2025

$40.00 + $3.90 SignUp Fee

Tuesday December 31, 2024 - Wednesday January 1, 2025

$70.00 + $5.70 SignUp Fee


Waiver

In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right and claims for damages or injuries that I may have against the Event Director, Eastside Racing Company, Hanson's Race Management, Move it Fitness ll, Rochester Area Recreational Authority, RunSignup.com, and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.

I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able to do so 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, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typically found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.

In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

********** SORRY, NO REFUNDS **********

IMPORTANT! Please read the following:

Running a distance race involves risks of serious injury. Surface defects may exist on the course, such as but not limited to dirt, rocks, roots hills, mud, water, trees leaves, snow, ice, and any other debris. Other participants, pedestrians, and animals may accidentally or deliberately create hazards. Also inclement weather, or physical strain of running in the race itself can lead to serious health problems.
I have read and understand this statement and agree to assume all risks of personal injury or other physical or emotional ailments, and even death. I hereby waive all liability or claims against Move-It Fitness, Eastside Racing Company, Charter Township of Shelby, River Bends Park of Shelby , Volunteers, and Sponsors.
I acknowledge that I am at least 18 yrs old, or my parent/guardian has consented to my participation in this event.

I GRANT PERMISSION TO MOVE IT FITNESS AND SPONSORS TO USE MY PHOTOS TAKEN DURING THIS EVENT

* By checking the box below I acknowledge I have read and understand the above agreement.


By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver.

Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, video or electronic recording of this event for legitimate purposes.




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