I, BEING DESIROUS OF PARTICIPATING IN THE SHANE KINSELLA MEMORIAL RUN, HEREBY AGREE TO HOLD HARMLESS THE TOWN OF GOSHEN AND CAMP OCHIPIANEE, AND ANY PROPERTY OWNER OR VOLUNTEER ASSOCIATED WITH THIS EVENT FROM ALL CLAIMS ARISING OUT OF ANY AND ALL PERSONAL INJURIES, DAMAGES, EXPENSES AND ANY LOSS OR DAMAGE WHATSOEVER RESULTING OR WHICH MAY RESULT FROM MY PARTICIPATION IN THIS EVENT. I ALSO CERTIFY THAT I AM PHYSICALLY FIT AND SUFFICIENTLY TRAINED TO COMPETE IN THIS EVENT.

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.

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.