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Race to Adopt - Race to Foster

Forest City, NC 28043

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  • Must meet two of the following requirements: Must meet three of the following requirements:
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Choose Your Run to Adopt - Run to Foster Fun Run/ 5k *

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Race to Adopt - Race to Foster Participant Waiver

WAIVER WILL NEED TO BE SIGNED AT THE CHECK IN DESK DATE OF RACE      

 

 

  PARTICIPANT WAIVER & RELEASE

EVENT:                     Race to Adopt – Race to Foster
LOCATION:             Forest City Dunbar Elementary School      
DATE:                       November 7, 2026

 

I/We understand that participation in this event may involve certain risks. By signing below, I/we voluntarily agree to participate and assume responsibility for any risks associated with participation. I/We release and hold harmless Rutherford County Department of Social Services, Rutherford County, its employees, representatives, volunteers, and agents from claims arising from participation in this event, except as otherwise provided by law.

Participants

Participant Name: ____________________________________ Adult / Child (circle one) Age: ______
Participant Name: ____________________________________ Adult / Child (circle one) Age: ______
Participant Name: ____________________________________ Adult / Child (circle one) Age: ______
Participant Name: ____________________________________ Adult / Child (circle one) Age: ______
Participant Name: ____________________________________ Adult / Child (circle one) Age: ______
Emergency Contact

Emergency Contact Name: ______________________________________________________

Emergency Phone Number: _____________________________________________________

Acknowledgment & Signature

By signing below, I acknowledge that I have read and understand this Participant Waiver & Release. If signing on behalf of a minor participant, I certify that I am the minor's parent or legal guardian and have authority to sign on their behalf.

Signature of Participant/Parent/Legal Guardian:

 
Printed Name: __________________________________________

Date: __________________________

 




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