T-Shirts Size (add
2.00 for XXL)
Amount Enclosed
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 Terrapin Events,
City of Portland, State of Oregon (ODOT), 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. ENTRY
FEES ARE NON-REFUNDABLE.
Signature X ___________________________________________________________
Date_____________________________
(Signature of Parent or Legal Guardian if participant is under the age
of 18)