IN-PERSON REGISTRATION Name * First Name Last Name Email * Phone (###) ### #### Shirt Size (ADULT SIZES) S M L XL 2XL Participation Wavier * I, individually, (and/or as parent, and/or guardian of the named minor) for and in consideration of acceptance of this entry in the aforementioned event, do hereby release, remise, waive, and forever discharge Calvary Community Church, Garden of Eden Columbus, Empower365 and any and all other supporting groups of this said racing event, together with all their officers, agents, officials and employees, from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of, or relating to any injury, illness, loss, or damage, including death, relating to participation in the aforesaid event. I further state I am in proper physical condition to participate in this event. In addition, I agree that my participation in this event requires that I will not participate with roller blades, skateboards, or anything which the race director deems dangerous to myself or other participants and that the walkathon director may remove me from this event for a violation of said policy. I further grant permission to this walkathon and the organization conducting the race and/or agents authorized by them to use any photographs, videotapes, motion picture, recordings and any other record of this event for any purpose. I also agree that all entry fees are non-refundable and that this entry is non-transferable. I AGREE PAYMENT TYPE * CASH CHECK VENMO CASHAPP Thank you!
