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this form to be printed and filled out in its entirety
please print clearly !

WAIVER: I know that running a road race is a potentially hazardous activity.
I should not enter and run 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. I assume all risks associated with running in
this event 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 and traffic on the course, all such
risks being known and appreciated by me. Having read this waiver and knowing
these facts, and in consideration of your acceptance of my entry, I, for
myself and anyone entitled to act on my behalf, waive and release the city
of Ellensburg, Kittitas and Yakima Counties, Bureau of Land Management,
State of Washington, Road Runners Club of America, all sponsors and contributors, volunteers and their representatives
and successors from all claims or liabilities of any kind arising out of my
participation in this event even though that liability may arise out of
negligence or carelessness on the part of the persons named in this waiver.
I grant my permission to all of the foregoing to use photographs, motion
pictures, recordings, or any other record of this event for any legitimate
purpose. I also understand that my entry fee in nonrefundable. A parent must
sign if entrant is under 18 years of age. This is to certify that my child
has permission to compete in this event, is in good physical condition and
the event officials may authorize necessary emergency medical treatment. I
understand that this event is RRCA sanctioned and that bicycles,
skateboards, baby joggers or strollers, headphones, roller skates or blades, and animals
are not allowed in the race, and I will abide by this guideline.
_________________________________________
Signature of Participant & date
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Signature of Parent or Legal Guardian
(for a participant under the age of 18)
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