Register For
9th Annual Howell Twp./Farmingdale 5K Run & Race Walk

Farmingdale, NJ 07727

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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Additional Information

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Used for age group calculations
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Choose Your Event(s) *

Open to ages 20+.

$30.00 + $3.75 SignUp Fee

Open to ages 19 and under.

$15.00 + $3.25 SignUp Fee

$30.00 + $3.75 SignUp Fee

$15.00 + $3.25 SignUp Fee


I know that running a road race is a potentially hazardous activity, which could cause injury or death. I will not
enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am
medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any
decision of a race official relative to any aspect of my participation in this event, including the right of any official
to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the race and
agree to abide by them.  I assume all risks associated with running in this event, including but not limited to: falls,
physical contact with other participants, volunteers, race personnel, contract service providers, employees, and
spectators including the potential the contraction of a communicable disease resulting from contact with other
participants, volunteers, race personnel, contract service providers, employees, and spectators.  I assume all risks
including: the effects of the weather; high heat and/or humidity; freezing cold temperatures; traffic and the
conditions of the road including surrounding terrain. I further agree to abide by the Center for Disease Control’s
(CDC) recommendations for the prevention of the spread of the 2019 Novel Coronavirus Disease (COVID-19) and
other communicable diseases, and I attest to having read the CDC’s guidance at: COVID-19 by County | CDC I
assume all such risks being known, appreciated, and accepted by me.
I understand that bicycles, skateboards, baby joggers/strollers, roller skates or inline skates, animals, and personal
music players are not allowed in the race, and I will abide by all race rules. Having read this waiver and knowing
these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf,
waive and release The 9 th Annual Howell Township/Farmingdale 5K Run and Race Walk, the Township of
Howell, the Borough of Farmingdale, Howell High School, Freehold Regional High School District, CONTACT
of Ocean & Monmouth Counties, the Monmouth County Park System, all event sponsors and volunteers, their
representatives and successors from all claims or liabilities of any kind arising out of my participation in this event,
even though that liability may arise out of negligence or carelessness on the part of the persons named in this
waiver.  In addition, I acknowledge the contagious nature of COVID-19 and other communicable diseases and
voluntarily assume the risk that I may be exposed to or infected by COVID-19 and/or other communicable diseases
by participating in this event. I acknowledge that such exposure or infection may result in personal injury, illness,
permanent disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 in
connection with my participation in this event and personally assume this risk.
I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of
this event for any legitimate purposes.  I understand that this event does not provide for refunds in the event of a
cancellation, and by signing this waiver, I consent that I am not entitled to a refund if the event is cancelled before
or during the event.

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.

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.

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