In consideration of the acceptance of my entry, I hereby waive on behalf of my heirs, executors and assigns, all claims of any nature arising from my participation in the Blue Jay Jog N Jam 5K Run/Walk and do hereby release St Joseph Consolidated School, VORA Park, and all sponsors, workers, officials, and volunteers from any claim arising from my participation in this event. I agree to abide by all the rules for participation and acknowledge the Committee may refuse or return my entry at its discretion. I understand the risks for such a run and trained adequately in preparation. I further grant the aforementioned the right to use any photographs, videos, recordings or any other record of the event for legitimate purposes.

Participant Signature/Date

Parent Signature (If Under 18)

Emergency Contact Name & Phone Number