Triple Threat Obstacle Challenge Registration

Parents and Guardians of Participants:

Please fill out the first and last name for each participant (including youths and adults). Parent/Guardian consent is MANDATORY for all students and parent/guardian must stay at the event with their children.
Name

First Name Last Name
Name

First Name Last Name
Name

First Name Last Name
Name

First Name Last Name
Name

First Name Last Name
Acknowledgement, Waiver and Release from Liability: I acknowledge that running/walking and running through obstacles are extreme tests of a persons physical and mental limits and comes with the potential for serious injury, death and property loss. I HEARBY ASSUME THE RISK OF PARTICIPATING IN THIS EVENT. I certify that I am physically healthy and have not been advised otherwise by a qualified medical person. I ALSO ASSUME ANY AND ALL OTHER RISK WITH PARTICIPATING IN THIS EVENT, including but not limited to, falls, contact with other participants, the effects of weather, including high heat, humidity, and cold and the condition of the roads, all such risks being known and appreciated by me. In consideration for allowing me to participate in this event, I hereby take the following action for myself, my executors, administrators, heirs, next of kin and successors and; (a) WAIVE, RELEASE AND DISCHARGE from any and all claims or liabilities for death, personal injury, property damage or damages of any kind that arise out of or relate to my participation in or my traveling to and from the "Triple Threat Obstacle Challenge" at Memorial Spaulding Elementary School in Newton. THE FOLLOWING PERSONS OR ENTITIES: Memorial Spaulding Elementary, Countryside Elementary and Angier Elementary employees, families and volunteers (b) AGREE NOT TO SUE any of the persons or entities mentioned above for any of the claims or liabilities I have waived, released and discharged. Registration for minors will only be accepted with a parents consent. Parent/Guardian sign below:
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

- Area Code Phone Number
What School? M.S., C-Side or Angier? *
My Products

Run/Walk Participant Fee (per person) $ 5.00

Quantity

Total $ 0.00
AFTER SUBMITTING, PAYMENT OPTIONS INCLUDE PAYPAL OR DEBIT/CREDIT CARDS.
T-Shirt Deadline Passed.... Sorry :/
Should be Empty:

Parents and Guardians of Participants:

T-Shirt Deadline Passed.... Sorry :/