• "Every child needs a hero, but abused and neglected children need SUPER HEROES!"

  • Children's Voice: CASA, Inc. I AM FOR THE CHILD Super Hero 5K & Fun Run Registration Form

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  • Gender*
  • T-Shirt Size*
  • Day of Event Information

    Boundary Waters Park and Sports Complex

    5000 Georgia Highway 92 North/166 East

    Douglasville, Georgia 30135

    1 Mile Fun Run @ 8:30 am /5k @ 9:00 am

    Can't make the event or don’t want to run, but want to support CASA and receive a t-shirt? No problem! You can participate as a phantom runner and receive your runner swag!  All you have to do is register as a PHANTOM runner, and your t-shirt will be mailed to you. It’s that easy!

    Don't forget to wear your favorite Super Hero costume or t-shirt! Prizes will be awarded for the best costumes!

  • Fees: $20 pre-registration (T-shirts available on race day); $25 after Sept. 6th (T-shirts will be mailed); $15 non-shirt option

    Note: All PHANTOM RUNNER T-shirts will be mailed.
  • Do Not Use Decimals. Amount cannot be adjusted after submission.*

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  • Please read any waiver carefully. It includes a release of liability and waiver of legal rights and deprives you of the ability to sue certain parties. Do not agree to this document unless you have read and understood it in its entirety. By agreeing electronically, you acknowledge that you have both read and understood the text presented to you as part of the registration process. You also understand and agree that events carry certain inherent dangers and risks which may or may not be readily foreseeable, including without limitation personal injury, property damage or death. Your ability to participate in the event(s) is/are subject to your agreement to the waiver and by agreeing herein, you accept and agree to the terms of the waiver and release agreement.

    ATHELETE'S RELEASE AND WAIVER

    PLEASE READ

    YOUR SUBMISSION OF THIS FORM CONSTITUTES YOUR CONSENT TO PARTICIPATE .

    STATE OF GEORGIA

    COUNTY OF DOUGLAS

    RELEASE

    For and in consideration of the mutual promises and covenants herein contained and for other good and valuable consideration: We, the undersigned, being of lawful age and sound mind, do hereby release (1), the members, staff, and board of directors of said (1), individually and collectively, from any and all claims, demands, rights, action and causes of action of whatsoever kind, nature and description arising from or by reason of any and all known, unknown, foreseen or unforeseen damages and the consequences thereof resulting and to result, from any transactions and other dealings between us and the above named individual attorneys, in connection with: any and all issues, claims, demands, rights, actions, complaints, grievances, and causes of action that relate or may relate either directly or indirectly in connection with (2).

    We specifically release (1) from any claim, past, present or future with regard to the above described matter or matters and we specifically and forever discharge the said (1), their successors, heirs, and assigns, and their executors, administrators, partners, agent and employees and their successors and assigns, from any and all actions, causes of action, claims, damages, accounting requirements and expenses of whatsoever kind, nature and description that we, the undersigned had, now have or may have in the future with regard to the above described matter or matters. We further certify that this release has been fully read and understood by us, the consequences of same have been fully explained to us and we execute same freely, voluntarily, under no threat of force, coercion whatsoever and at our own insistence. The words "we" to include both the singular and the plural, their respective heirs successors, and assigns wherever the context requires or permits. It is expressly agreed that this instrument may be treated as a defense to any, action or proceeding that may be brought, instituted, or taken by the parties hereto or in their behalf, and shall forever be a complete bar to the commencement or prosecution of any action or proceedings whatever with regard to the aforesaid matters. IN WITNESS WHEREOF, we have hereunto set our hands and affixed our seals, this day of , 2013. Signed, sealed and delivered In the presence of the undersigned this day of ,2013.

    LEGAL RACE WAIVER

    Please accept my entry in the Children’s Voice: CASA, Inc. I AM FOR THE CHILD Super Hero 5K Run/Walk . I know that running/walking a road race is a potentially hazardous activity. I certify that I have entered this race of my own free will. I am in a physical condition that allows me to enter this event. I agree to assume all risk associated with participating in this event, including, but not limited to falls, the effects of the weather, traffic and the conditions of the roads or paths.

    Having read this waiver and in consideration of the acceptance of my entry, I do, for myself, heirs, successors and/or assigns, and anyone entitled to act on my behalf waive, and release Children’s Voice: CASA, Inc. Douglas County Georgia, Georgia CASA, National CASA, City of Douglasville, Douglas County, and all other race workers, volunteers, or sponsors of the CASA Super Hero Run, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. My photograph, likeness, or video may be used for legal video may be used for legal purpose by race organizers. I have read this waiver and agree to its terms.

     
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