Blaine Whorl 5K Run/Walk Registration Form

Registration Fee:
$25 through October 1st (includes t-shirt)

$30 from October 2nd- 16th  (Shirt NOT guaranteed- only while supplies last) 


Please read carefully. The waiver includes a release of liability and waiver of legal rights and deprives you of the ability to sue certain parties. Do not agree to this document unless you have read and understood it in its entirety. By agreeing electronically, you acknowledge that you have both read and understood the text presented to you as part of the registration process. You also understand and agree that events carry certain inherent dangers and risks which may not be readily foreseeable, including without limitation personal injury, property damage or death. Your ability to participate in the event is subject to your agreement to the waiver and by agreeing herein, you accept and agree to the terms of the waiver and release agreement.

I, intending to be legally bound, hereby waive and release for myself, my heirs, executors and administrators, any and all rights and claims for damages, demands and any other actions, which I may have against St. Mary's Ryken and all their agents, representatives, successors and assignees, from my participation in this event, including any and all injuries suffered by me because of my participation in this event.
I verify I have full knowledge of the rigors of this race and the risk involved in participation, and I am physically fit and have sufficiently trained to complete this event. I realize medical support for this event will ocnsist primarily of volunteer medical personnel prepared to administer first-aid type assistance along the race course and at the finish line. REMINDER: RUNNER'S NUMBER WILL NOT BE RELEASED UNLESS A SIGNED/ACCEPTED LIABILITY RELEASE IS ON FILE WITH ST. MARY'S RYKEN.

I hereby grant permission to St. Mary's Ryken and its sponsors to use all information submitted in my application, and any photograph, videotape, recording and any other record of thus event including race results, my likeness, name and completion time for any purpose, including pre-race and post-race publicity.

You must be 18 years of age OR the parent/legal guardian of a minor under 18 years of age OR the legal guardian of an incapacitated and/or mentally challenged person in order to agree to the text above.