Register For
Run, Walk & Roll 5K & 1 Mile

Ashtabula, OH 44004

Registrant #1

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$25.00 + $3.29 SignUp Fee

$25.00 + $3.29 SignUp Fee

$25.00 + $3.29 SignUp Fee


Waiver

In consideration of the acceptance of this entry to the Friends of People with Developmental Disabilities (FPDD) Levy Committee, I do hereby, for myself, my heirs, executors and administrators waive and release and discharge FPDD Levy Committee, Ashtabula County Board of DD, Stasny Road Racing LLC., and any additional hosts and sponsor, or their respective agents representatives and employees from all claims; demands and rights of cause of action, present and future whether know or anticipated resulting from or arising out of either directly, my participation in the Run, Walk and Roll race. I attest that I am physically fit and sufficiently trained for the completion of the race I enter. I have read and understand the foregoing assumption of risk and release. By signing this waiver, you are giving permission to FPDD Levy Committee and Stasny Road Racing to add you email to their database and publish video and photos online and on social media. No refunds will be given and there is a no bib swapping policy.

In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all rights and claims for damages or injuries that I may have against the Event Director, 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.

As it applies to my participation in this race, I agree to abide by the Center for Disease Control (CDC)’s recommendations for the prevention of the spread of COVID-19 and attest to having read the CDC’s guidance at: https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html. I also agree to abide by any COVID-19 distancing and other safety guidelines issued by the state, the community or by this race for my participation in this race.

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.

This event follows the standard running industry policy: All entry fees are non-refundable. We reserve the right to postpone or cancel the event due to circumstances beyond our control such as a natural disaster or emergency or as required to protect the safety of participants and staff. No refunds will be issued under these circumstances. We reserve the right to change the details of the event without prior notice. I understand that my entry fee is nonrefundable and bib numbers are non transferable.

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 including the no refund policy.




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