Register For
Farmville Jingle Bell Run 5K & Mile Fun Run

Farmville, VA 23901

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$25.00 + $2.50 SignUp Fee

$20.00 + $2.20 SignUp Fee


Waiver

Waiver of Responsibility: In consideration of acceptance of this entry, I hereby, for myself, my heirs, executors, administration, and\assigns, Release, and discharge the Town of Farmville, promoters, managers, directors, operators, and all other sponsors or associates of the Jingle Bell 5K & 1 Mile Fun Run/Walk, from any and all damages suffered by me as a result of my participation in or traveling too from the said event. This release specifically includes but is not limited to, all injuries arising from or contributed to by any physical examination or other evidence of my fitness to participate in such event, the same being my sole responsibility. 

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 which can include snow/ice, 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 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.

I acknowledge an inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. According to the Centers for Disease Control and Prevention (CDC), senior citizens and people with underlying medical conditions are especially vulnerable. By attending this event, you voluntarily assume all risks related to exposure to COVID-19.

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.

I acknowledge that, an inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. According to the Centers for Disease Control and Prevention (CDC), senior citizens and people with underlying medical conditions are especially vulnerable. I agree to allow the Farmville Recreation Department full use of images and other promotional materials (photographs, video, audio) taken during this event for purposes of promoting the Jingle Bell Run this year and in future years.

I also certify that entry fees are non-refundable and non-transferable.




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