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Genoa Community Hospital

Color Run Registration

Genoa Color Run Registration
* First Name
* Last Name
* City, State, Zip
* Phone Number
* Fee
  T-Shirt Size
Billing Information
If you are registering a child 7 or younger or you are registering as a volunteer, disregard the billing information and proceed to the waiver.
  Billing Name
Name as it appears on credit card
  Billing Address
Address where your credit card statements are mailed
  City, State, Zip
  Your E-Mail Address
  Credit Card Type
  Credit Card Number
16-digit number exactly as it appears on card
  Credit Card Expiration Date
mm/yy
  CV3 Code
3-digit code located on the back of your credit card
WAIVER:
* By registering and participating in the Genoa Color Run 5K you agree to the following release waiver:

I know and understand that running in a 5K run with color is a potentially hazardous activity. I know, recognize and appreciate these risks, realizing this is a strenuous activity which requires physical conditioning and hereby represent and certify that I am in good health and in physical condition to participate in this event.

I assume all risks associated with running in this event and acknowledge it carries with it the potential for property loss, serious injury, or death. I understand the risks include, but are not limited to, those caused by terrain, falls, contact with other participants, lack of hydration, traffic, obstacles, actions of other people including, but not limited to, participants, volunteers, spectators, coaches, event officials and event monitors, and/or Administrators of the event. All such and related risks being known and appreciated by me. I also agree to obey all laws while participating in the color run. I also agree to immediately adhere to directions given me by event officials as well as law enforcement and emergency personnel.

In consideration of the acceptance of my participation, I hereby for myself, or anyone else who might claim on my behalf, covenant not to sue, and waive, release, and discharge all companies involved with the organization of the color run, including all sponsors, partners, and affiliates, of this event from any and all claims or liability of any kind or nature whatsoever arising out of my participation in this event, even though such liability may arise out of negligence or carelessness on the part of event organizers, sponsors, partners and affiliates.

Having read and understood this waiver and in consideration of your accepting my entry, I for myself and anyone entitled to act on my behalf, waive and release the Genoa Color Run 5K, race organizers and volunteers, land owners, and all sponsors, their representatives and successors from all claims or liabilities of any kind resulting from 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 understand that bicycles and skateboards are not allowed in any event. I will abide by these guidelines.

I do hereby fully release and forever discharge the Genoa Color Run 5K and its partners from any and all claims for injuries, illnesses, damages, expenses or loss that me or my minor child may suffer arising out of, connected with, or in any way associated with the race, program or activities. I have read and fully understand the above important information warning of risk, assumption of risk, waiver and release of claims.