Register For
The Silver Run

Holdrege, NE 68949

Registrant #1

Who are you registering? *

By selecting this box, you are indicating that you are the parent/guardian of the person you are about to register. Additionally, if the child is under the age of 13, you are consenting to the collection and use of the information about the child for the purpose of the registration as described in our privacy policy.

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Basic Info

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Additional Information

Format: mm/dd/yyyy
Used for age group calculations
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All participants must read and sign. Please read carefully before signing acknowledgment, waiver and release from liability. I ASSUME THE RISKS OF PARTICIPATION IN the YMCA of the PRAIRIE Silver Run. I certify that I am physically fit, have sufficiently trained for this event and have not been advised otherwise by a qualified medical person. My signature acknowledges that I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors, and assigns: (a) I agree to abide by the rules of the competition (b) I waive, release, and discharge from any and all claims or liabilities for death, personal injury, property damages of any kind that may arise out of or be related to my participation in or my traveling to and from this event, the following persons or entities: YMCA of the Prairie and its employees, event sponsors, race directors, event producers, volunteers, all states, cities, counties or localities in which the event segments are held, and the officers, directors, employees, representatives, agents, and family members of any of the above for any of the claims or liabilities that I have waived, released or discharged herein; and (d) I indemnify and hold harmless the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions during the event. My signature also grants permission for my likeness to appear in promotional material. I HEREBY AFFIRM THAT I AM NINETEEN (19) YEARS OF AGE or OLDER, I HAVE READ THIS DOCUMENT AND UNDERSTAND ITS CONTENTS. NO RAIN DATE - RAIN OR SHINE. NO REFUNDS.

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