FORT(WAYNE)NITE FUN RUN

Grab your "SQUAD" and get ready for an exciting kids 1 mile fun run followed by a 3 mile fun run if you are up for more! Walk, run, skip, flap, floss, or shuffle your way through the course. Bring the entire family and get moving! 

Date: Thursday, August 2nd, 2018

Time: 6:30 PM

Place: Emmaus Lutheran School- 8626 Covington Rd. Fort Wayne, IN 46804

REGISTER:

Please complete a form for each individual attending. If you are registering someone under the age of 18 please agree to the minor waiver. You may use the same email for all registrants if registering a family.

MM/DD/YYYY

WAIVER AND RELEASE OF LIABILITY- READ BEFORE AGREEING

In consideration of being allowed to participate in any way in the fun run, its related events and activities, I, the undersigned, acknowledge, appreciate, and agree that:

The risk of injury from the activities involved in this program is significant, and while particular skills, equipment, and personal discipline may reduce the risk, the risk of serious injury or death does exist. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my participation.

I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of Fleet Feet Sports Fort Wayne immediately. I understand this Fleet Feet Sports location is an independent licensee of Fleet Feet Incorporated and independently operates this Fun Run.

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify, and hold harmless No Ties LLC d/b/a FLEET FEET SPORTS, Fleet Feet Inc., their agents, employees, coaches, volunteers, officers, directors, franchisors, successors and assigns the City of Fort Wayne, and any and all sponsors, their representatives and successors ("Releasees"), with respect to any and all injury, disability, death, or loss or damage to person or property associated with my presence or participation, whether arising from the negligence of the releases or otherwise, to the fullest extent permitted by law.

I attest that I am in good health and physically capable of participating in the Fun Run, and my medical care provider has approved my participation. Further, I hereby release, consent to, and authorize, in advance, any such use of my name, photograph, voice or likeness by the foregoing parties in any manner they deem appropriate and necessary without remuneration to me.

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE

(UNDER AGE OF 18 AT TIME OF REGISTRATION)

This is to certify that I as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the releasees, and for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in this Fun Run as provided above, even if arising from the negligence of the releases, to the fullest extent permitted by law.

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