In consideration of accepting this entry, I, the participant, warrant that I am physically able to participate in this event and have done proper training. In consideration of my entry for myself, my debtors, administrators and assignees, I do hereby release and discharge any rights and claims against Route 16 Running and Walking, Permission To Start Dreaming Foundation, Race for a Soldier, Pierce County, City of Gig Harbor, YMCA, Canterwood, RunSignUp.com, Custom Race Systems and any other sponsors, volunteers, individuals or groups involved with the running of this event for any or all injuries suffered by me at this event or while traveling to and from the event. I also understand that in the event that Race For A Soldier cannot be held as scheduled due to an act of God or other circumstances, I am not entitled to a refund of any money paid by me to participate. I also hereby consent to permit and accept responsibility for emergency treatment in the event of injury or illness. I further grant full permission to Permission To Start Dreaming Foundation, or any other person or entity authorized by it, to use my name, age, birth date, city, finish place, photo and finish time in the public domain and to contact me by email or U.S. mail regarding Permission To Start Dreaming Foundation.
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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 typical 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 Directors representatives 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.
The Permission To Start Dreaming Foundation is a public, 501(c)(3), nonprofit organization. Our tax id# is 27-5251886. The cost of your entry fee minus $20 for your shirt and race goodies is a tax-deductible donation. This entry form serves as your receipt. Please make a copy for your tax records. Thank you for supporting our mission, our troops and their families!