5K Walk/Run Form
|Sponsor:||Mayville High School Volleyball Team|
|When:||Saturday, July 22, 2017|
|5K Run Walk at 9:00 am
Ages 11 and older
$10 in advance or $15 day of event
|Kids Fun Run at 9:50 am
Ages 10 and younger
|Prizes:||Trophies for top male and female finishers in categories of 5K Run, 5K Walk, and Kids Fun Run|
Checks should be made payable to Mayville Community Schools. Entry fees (if any), should be returned to:
1645 East Blackmore Road
Mayville, Michigan 48744
PARTICIPANT AGREEMENT / WAIVER
I acknowledge that this athletic event is an extreme test of a persons physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risk includes, but is not limited to those caused by terrain, facilities, temperature, weather, condition of the athletes equipment, vehicular traffic, actions of other people including, but not limited to volunteers, spectators, coaches, event officials, and event monitors, and/or producers of the event and lack of hydration. I hereby assume all of the risks of participating in this event.
I certify that I am physically fit, have sufficiently trained for participation in this event, and have not been advised otherwise by a qualified medical person. I acknowledge that this accident waiver and release of liability form will be used by the Village of Mayville, Michigans Mayville Sunflower Festival, Mayville Community Schools, and the event holders, sponsors, and organizers and that it will govern my actions and responsibilities at said event.
In consideration of my application / registration permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns to (a) waive, release, and discharge from any and all liability for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter accrue to me, including my traveling to and from this event the following entities or persons: Village of Mayville, Michigans Mayville Sunflower Festival, Mayville Community Schools, its elected and appointed officials, employees, and volunteers, and others working or acting on behalf of the Village of Mayville, Michigans Mayville Sunflower Festival, and Mayville Community Schools, and to the extent permitted by law; (b) indemnify and hold harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of or relating to my attendance and / or participation in this event.
I hereby consent to receive medical treatment which may be deemed appropriate in the event of injury, accident, and/or illness during this event.
***All fields must be completed before submitting form.