GRESHAM
JAZZ RUN Entry Form
Sunday, October 12, 2008
Gresham Main City Park
5K Run / Walk, 10K Run/Walk, ½ Marathon, 1K or 2K Kids Run
Website - www.greshamjazzrun.com
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 AA Sports, Ltd., City of
Portland, 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 agree to return the Timing Chip assigned to me or pay a $30.00 replacement
fee. ENTRY FEES ARE NON-REFUNDABLE.
Type Full Name
Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian if participant is under the age of
18)
Date________________________________________