Saturday, October 15, 2011

2nd Annualy Turkey Trot registration form

2nd Annual Turkey Trot @ Gleneagles

Participant Information

First Name:______________________________________

Last Name:______________________________________

Gender:____________________

Email: _______________________________________________

Phone: ______________________________________

City________________________________________

T-shirt size:________________________________

Comments:____________________________________________________________________

YOU UNDERSTAND THAT PARTICIPATION IN THE EVENT IS POTENTIALLY
HAZARDOUS, AND THAT A REGISTERED PARTY SHOULD NOT PARTICIPATE
UNLESS THEY ARE MEDICALLY ABLE AND PROPERLY TRAINED.

YOU UNDERSTAND THAT EVENTS MAY BE HELD OVER PUBLIC ROADS AND
FACILITES OPEN TO THE PUBLIC DURING THE EVENT AND UPON WHICH
HAZARDS ARE TO BE EXPECTED.

PARTICIPATION CARRIES WITH IT CERTAIN INHERENT RISKS THAT CANNOT BE
ELIMINATED COMPLETELY RANGING FROM MINOR INJURIES TO CATASTROPHIC
INJURIES INCLUDING DEATH.

YOU UNDERSTAND AND AGREE THAT IN CONSIDERATION OF BEING PERMITTED
TO PARTICIPATE IN THE EVENT, YOU AND ANY REGISTERED PARTY, THE HEIRS,
PERSONAL REPRESENTATIVES OR ASSIGNS OF YOU OR THE REGISTERED PARTY
DO HEREBY RELEASE, WAIVE, DISCHARGE AND CONVENANT NOT TO SUE THE
RACE DIRECTORS, JOSEPH and/or STEFANIE WILEY, FOR ANY AND ALL LIABILITY
FROM ANY AND ALL CLAIMS ARISING FROM PARTICIPATION IN THE EVENT BY
YOU OR ANY REGISTERED PARTY.

Signature: _______________________________________________ Date:

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