In consideration of your accepting this entry, I, the undersigned, intending to be legally bound for myself, heirs, executors, and administrators, waive and release any and all claims for damages and injury I may have against Chilton Medical Center, Chilton Medical Center Foundation, the Township of Pequannock, Pequannock Township High School, PCRC, Main Street Marketing & Events, Tristate Timing, USATF, RunSignup.com their agents, servants, successors, and all other persons or entities involved in the promotion or staging of the Apple Chase Run for Life: 12K Run and 5K Run/Walk. I also give my permission for the use, without fee, of my name and picture in any broadcast, telecast, or print media account of this event for promotional and publicity purposes. I attest and verify that I am physically fit and have trained sufficiently for this event to be held on Sunday, Oct 15, 2017, in the Township of Pequannock, NJ. I accept responsibility for the return of the rental timing chip.
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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 my physical condition has been verified by a licensed Medical Doctor. 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 waiver.