Register For
The FWRC Annual Celebration Presented By Puma

Fort Wayne, IN 46845

Registrant #1

Login with your PaddleSignup account.

This will be the password for your PaddleSignup account.
Format: mm/dd/yyyy
Used for age group calculations
Valid formats include: 000-000-0000 or 0000000000

Choose Your Event(s) *

$39.00 + $3.34 SignUp Fee

$256.00 + $13.80 SignUp Fee

Would you like to join the following club: Fort Wayne Running Club?

As a club member, you will receive a $4.00 discount on event fees.


Waiver

In consideration for the opportunity to participate in annual banquet, I, the participant, intending to be legally bound, hereby release and promise to indemnify, defend, and hold harmless the Fort Wayne Running Club, all Fort Wayne Running Club Officers and Directors, RunSignUp, the Event Director, sponsors and their representatives, volunteers, and all other contracted agents assisting with the event (the “Released Parties”), for any injury or damage arising directly or indirectly out of [Insert event name], whether such injury or damage arises out of the negligence of the Released Parties, the participant, or otherwise.. This waiver includes any injury or damage sustained before, during, or after the event. I recognize, intend, and understand that this waiver is binding on my heirs, executors, administrators, and assignees.

I acknowledge running is a potentially hazardous activity, and that I should not participate unless I am medically able to do so and properly trained. I assume all risks associated with participation in this event, including, but not limited to: falls, contact with other participants, the transmission of disease, the effects of weather, traffic, and course conditions. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any event official relative to my ability to safely participate in the event. I certify as a material condition to my being permitted to enter this event that I am physically fit and sufficiently trained for the completion of this event.

In the event of an illness, injury, or medical emergency arising during the event I authorize 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 the Event Director may postpone or cancel the event due to unforeseen events (such as a natural disaster or emergency) and may need to alter the courses and/or distances if required to do so due to adverse circumstances.

As I participant in this event, I agree to abide by recommendations issued by relevant government health department(s), including social distancing requirements and other safety guidelines.

I acknowledge that I have read and agreed to the above release and waiver. If the participant is under 18 years of age, I certify that I am the legal parent or guardian of the participant.

Further, I grant permission to the foregoing to use my name, voice, and images of myself in any photographs, motion pictures, results, publications, or any other print, video, graphic, or electronic recording of this event for legitimate purposes.  




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