Race Registration 2012

Event Registration

Waiver/Release/Hold Harmless Agreement

I know that participating in this race is potentially hazardous. I should not enter, run or walk in this race unless I am medically able to. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running/walking and/or volunteering with the race day events including but not limited to; falls, contact with other participants, the effects of the weather, (including high heat and /or humidity), the conditions of the road, potential traffic on the course, all such risks being known and appreciated by me. I hereby acknowledge that I am voluntarily assuming the risk of any such injury, disability or death on behalf of myself and my child. I hereby waive, and release and hold harmless  on behalf of myself and my child  and our respective estates, heirs, successors and assigns ,  Mommy and Me Fitness  Inc., it's officers, directors, employees, agents and volunteers and the Church/Organization who sponsors this event from any  claims, demands, injury, damage, lawsuits, expenses (including but not limited to reasonable attorneys fees) of any type, whether known or unknown, arising directly or indirectly out of my participation and my child's participation in the Mommy and Me fitness program. I specifically acknowledge that I have read carefully and fully understand this agreement and that I make it freely. I also certify that  my child and I are in good physical  condition, and  are freely able to participate in an exercise program. I grant permission to all the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose of both myself and child(ren).
To register, please fill out the following form or download our Registration Form and mail form with payment to:
Mommy & Me Fitness Inc. 5K
P.O. Box 3673
Mansfield, Ohio, 44907

 

Race Registration Form

Please fill out the form below and submit, then continue to the payment page
    *Registration to the relay race includes two 5k runner registrations as well. Refer here for further information. http://mommyandmefitnessfun.com/5k-oct2012
  • Other family members are welcome to participate in the 5K as well, just fill out a separate registration form for them individually. Thanks.