5K “Out Run Hunger”

First Name

Last Name

Address

City

State

Zip Code

Phone Number

Email Address

Age on race day

Gender

T-Shirt Size
SMLXXL

Pre-register by 10/1/2023 to guarantee t-shirt!

Waiver: I hereby acknowledge that participation in a W alk/Run is an inherently dangerous activity. I understand that risks include serious injury or death, from such hazards as weather conditions, falls, contact with the road, motor vehicle traffic, contact with other participants, and other potential hazards. I acknowledge that I should not enter or participate in this event unless I am medically able and properly trained.
For the sole consideration of allowing me to participate in this event, I hereby release and forever discharge FaithCentre., Inc., and the Borough of Bellefonte, their members individually and their officers, agents and employees from any and all claims, demands, rights and causes of action arising from any personal injury, property damage, or the consequences thereof, resulting from or in any way connected with my participation in this activity.
I certify that I am at least 18 years of age and that I have read and understood the above.

Digital Signature of Participant or Parent

Date