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. 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.

Assumption of Risk, Hold Harmless and Indemnity Agreement

Jefferson Valley Mall Veterans Day 5k 2026

Assumption of Risk 
I am about to run/walk a road race. I know that running/walking a road race is a potentially hazardous activity. 
There are risks that include, but are not limited to, falls, sprains, strains, broken bones, heat‐related illness, heart 
attack, contact with other participants, effects of weather, traffic, and road conditions. I understand that this 
run/walk will take place on roads that remain open to vehicular traffic. I realize that it is not possible to list 
specifically each and every risk. I will not enter or participate in the race unless I am medically able and 
properly trained. I agree to abide by any directions and decisions of race officials. 
However, knowing the material risks and appreciating, knowing and reasonably anticipating that injuries and 
even death are possible, I hereby expressly assume all of the risks of injury or death that could occur by reason 
of my participation in the race. 

Hold Harmless and Indemnity 
In exchange for and in consideration of the permission being granted to me to participate in the race, I release 
and hold harmless Mall at Jefferson Valley LLC, SSL Equity LLC, their employees, agents and representatives, 
from any and all liability, actions, causes of action, negligence, debts, claims, or demands of any kind and 
nature whatsoever including, but not limited to, claims for negligence, recklessness or any other form of action 
for which a release may be legally given (including attorneys’ fees and costs) which may arise by or in 
connection with my participation in any activities related to the race. 

Rules of Participation 
I understand that while participating in the race, I must follow the instructions and directions provided by race 
personnel. My failure to follow instructions or directions may result in my immediate expulsion from the race. 
I have read the Assumption of Risk, Hold Harmless and Indemnity Agreement and expressly and 
knowingly agree to its terms. 

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Name of Participant (print)

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Signature of Participant (or parent/guardian 
 if participant is under 18 years of age)