RED ROSE RUN JUNE 2, 2018 8 AM I am registering as: an Individual (not a member of a group) a Group Leader (I want to start a group) a Group Member (I have an invitation code) ($10.00 / person) Group Name Group Type Corporate Team ($10.00 / person) High School Team ($10.00 / person) Open Team ($10.00 / person) Invitation Code We're sorry! This team already has 5 members. However, we’d still like for you to come out and join us for the 40th Annual Red Rose Run on Saturday, June 4, 2016. Feel free to sign up as an individual, or start your own team! Event Entered 5 Mile Run $25.00 5 Mile Wheelchair $25.00 Kids Fun Run $5.00 First Name Last Name Address 1 Address 2 City State Zip Code Phone Number Email Address Select Gender Male Female N/A Birth Date (mm/dd/yyyy) T-shirt Size X-Small Small Medium Large X-Large Invite up to 4 additional members below. Team Member 1: Name Team Member 1: Email Team Member 2: Name Team Member 2: Email Team Member 3: Name Team Member 3: Email Team Member 4: Name Team Member 4: Email In consideration of your accepting this entry, I the below checked, intending to be legally bound, for myself, my heirs, my executors and administrators, waive and release any and all rights and claims for damages I may have against the race, and sponsors and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest that I will participate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event. The Athlete is fully aware of the risks and hazards inherent in participating in the Event and hereby elects to voluntarily compete in the Event, knowing the risks associated with the Event. The Athlete hereby assumes all risks of loss(es), damage(s), or injury(ies) that may be sustained by him/her while participating in the Event. Furthermore, I hereby grant full permission to use my name and likeliness, as well as any photographs and any record of this event in which I may appear for any legitimate purpose, including advertising and promotion. The Athlete acknowledges that the entry fee is non-refundable and non-transferable. In the event the Event is delayed or prevented by reason of fire, threatened or actual strike, labor difficulty, work stoppage, insurrection war, public disaster, flood, unavoidable casualty, acts of God or the elements (included without limitation, hurricanes, tornadoes, light ning, earthquakes), or any other cause beyond the control of the Event. there shall be no refund of the entry fee or any other costs of the Athlete in connection with the Event. The Athlete warrants that all statements made herein are true and correct and understands that Releasees have relied on them in allowing Athlete to participate in the Event. ATHLETE HAS READ THE FOREGOING AND INTENTIONALLY AND VOLUNTARILY SIGNS THIS RELEASE AND WAIVER OF LIABILITY AGREEMENT. IF ATHLETE IS UNDER AGE 18: The parent/guardian certifies that my son/daughter has my permission to participate in the Event. The parent/guardian has read the forgoing RELEASE AND WAIVER OF LIABILITY AGREEMENT and by accepting the waiver intentionally and voluntarily agrees to its terms and conditions. I have read the above terms & agree to them.