Register For
Extra Mile Fitness Company NWI Region Run Club

Valparaiso, IN 46383

Registrant #1

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Format: mm/dd/yyyy
Used for age group calculations
Format: ###-###-####

Choose Your Event(s) *

Saturday June 8, 2024 - Sunday November 3, 2024

$0.00

Saturday June 8, 2024 - Sunday November 3, 2024
Open to ages 12 - 100.

$70.00

Saturday June 8, 2024 - Sunday November 3, 2024

$125.00


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, Race the Region, RunSignUp.com, and all of their agents assisting with the event, sponsors, vendors, 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 understand that this even will be conducted as a time trial on an open course that will not be secured or monitored by the event organizers.  I accept that I will be running individually, on my own, and that it is my responsibility to be completely self-sufficient including, but not limited to, providing my own nutrition and hydration. Other than scoring and timing, I understand and accept that no course support, medical support, or any other services of any kind will be provided by the race organizers.

Furthermore, I agree I am  in good health and symptom free from any illness including Coronavirus.  The CDC recognizes the following symptoms which may appear 2-14 days before:  Cough, Shortness of breath or difficulty breathing, Fever, Chills, Muscle pain, Sore throat, New loss of taste or smell for at least 2 weeks prior to the event. 

If you have any of those symptoms NOW or 2 WEEKS prior to this event - you understand that YOU ARE REQUESTED NOT to participate or attend the event.  

After picking up their race number and upon approaching the starting line participants are required to immediately begin their race.  Participants will not be allowed to congregate or conduct any race preparation (warm-ups, stretching, adjusting or changing apparel, etc.) in the starting area.  Participants should approach the starting line ready to run. I agree to adhere to all safe distancing practices including but not limited to, remaining a minimum distance of 6 feet from other participants, spectators, event staff and volunteers.


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 typical 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.

I understand that there are no refunds available of any kind for this event even in the case that the race is postponed or cancelled for any reason. 

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.  I further acknowledge that my failure to adhere to all of the rules and regulations as stated above, and/or failure to follow the instruction and directions by any event official, or as stated in the race rules and descriptions, will result in a forfeiture of my event entry and removal from the event.

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, videographic or electronic recording of this event for legitimate purposes.

 




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