T-Shirt (included
with entry Fee)
Check#
Amount Enclosed
WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
OFFICIAL WAIVER: I know that running/walking a road race is a potentially
hazardous activity. I should not enter and run/walk unless I am medically
able and properly trained. I agree to abide by any decision of a race
official relative to my ability to safely complete the run/walk. I assume
all risks associated with participating in this event including, but not
limited to falls, contact with other participants, the effects of weather,
including high humidity, traffic and the conditions of the road, all such
risks being known and appreciated by me. Having read this waiver and knowing
these facts and in consideration of acceptance of my entry, I for myself
and anyone entitled to act on my behalf, waive and release Lake Oswego
Junior Women's Club, City of Lake Oswego, Kruse Way Lake Oswego Rotary
Club, AA Sports, Ltd., and any and all persons, sponsors and entities,
their representatives and successors from all claims or liabilities of
any kind arising out of my participation even though said liability may
arise out of negligence or carelessness on the part of the persons named
in this waiver. I grant permission for all of the foregoing to use any
photographs, motion pictures, recordings, or any other record of this
event for any legitimate purpose. Parents must sign if participant is
under 18 years of age. This is to certify that my child has permission
to complete in this event, is in good physical condition and that event
officials may authorize necessary emergency treatment. I understand that
I must return the Timing Chip assigned to me or to pay a $30.00 replacement
fee. ENTRY FEES ARE NON-REFUNDABLE & NON TRANSFERABLE.
Type Full Name
Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian if participant is under the age
of 18)
Date________________________________________