Runnning Bear 5K Run/Walk and 1/2 Mile Kids' Run Registration
Mail Registration Form with Check Payable to:
The Glen Arbor Women's Club
P. O. Box #412, Glen Arbor, MI 49636
COST: 5K: $20 if turned in by July 25. $25 the day of the race. Kids' Run: $5
---------------------------------Cut Here (One Person per Form) --------------------------------------
Please Print Neatly
Name:________________________ ________________Event: 5K___Kids' Run___
Age on 7/26/2022:______ Gender:____ E-mail_______________________________
In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right and claims for damages or injuries that I may have against the Glen Arbor Women's Club, Event Director, event sponsors, and all of their agents, representatives, volunteers, and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during, or after the event. I recognize, intend, and understand that this release is binding on my heirs, executors, administrators, or assignees.
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typical found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run. I certify, as a material condition to my being permitted to enter this race, that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.
The Glen Arbor Women's Club will comply with any applicable federal, state, or local laws, ordinances, or other government-issued directives that relate to the ongoing COVID-19 pandemic. I agree, as a participant, that my being permitted to enter the race is conditioned upon my compliance with any applicable federal, state, or local laws, ordinances, or other government-issued directives related to the COVID-19 pandemic. I agree that I will not participate in the race if I have tested positive for COVID-19 within the 14 days prior to the event. I further agree and acknowledge that the above-stated liability waiver for sustained injuries or damages includes any potential exposure to COVID-19 at the event.
In the event that (1) applicable federal, state, or local laws, ordinances, or other government-issued directives require the cancellation of the race, or (2) I am unable to participate in the race due to a positive COVID-19 test within 14 days of the race, I understand no refunds will be issued.
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.
*Anyone under 18 needs a parent or legal guardian's signature.
Please: No pets, bikes, roller blades, skateboards or other hazards -- Thank you!
Race Prices: 5K: $20 plus $1 admin. fee = $21.00
Kids' Race: $5 plus 50⊄ admin. fee = $5.50
T-shirt Prices: Youth - $15
Adult - $20
****This website will NOT be checked for registrations after Friday, July 22nd. PLEASE DO NOT REGISTER AND PAY ONLINE AFTER THAT TIME
You can purchase your
T-Shirt at the same time you pay for your race. There will be a LIMITED number of shirts available at pre-registration and the race.
* Register in person on July 25th between 10 a.m.
and 4 p.m. at Glen Arbor Township Hall,
6394 W. Western Ave. in Glen Arbor
* Register the day of the race between
7:30 a.m. and 8:45 a.m
Please remember to fill out a registration form for each participant.
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