Santa Speedo Run 2021 : Runner Information & Release
All runners MUST fill out this form to be officially signed up for the 2021 Santa Speedo Run to benefit the Play Ball Foundation.

Questions or concerns? Please contact mharrell@playballfoundation.org
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Full Name *
Email *
Mailing Address *
Cell Phone
Waiver and Release: I know that participating in this event is a potentially hazardous  activity. I will not enter and participate unless I am medically able and properly trained. I also  acknowledge and agree that my participation in this event may be subject to state and local  governmental guidelines and requirements instituted in connection with the COVID-19 national  pandemic, including, without limitation, social distancing requirements, limitations on public  gatherings and guidelines on wearing face masks and/or other personal protective equipment. I  assume all risks from participating in this event and its related activities, including but not limited  to, falls, contact with other participants, illness, effects of the weather (including snow and ice),  traffic and the other conditions of the road; all such risks being known and appreciated by me.  Having read this waiver and release and knowing these facts and in consideration of your  accepting my entry fee and participation, I, for myself, my heirs, executors, administrators and  anyone entitled to act on my behalf, waive and release SSRunners, Inc., SSR Holdings, LLC,  the Play Ball! Foundation, and all owners, operators and/or residents thereof, race officials, individual runners, volunteers, event  sponsors and all others, including all of the respective affiliates, parents, subsidiaries, principals, directors, agents, officers, employees and contractors of any of the foregoing, of and from all  claims, damages, liabilities or cause of action of any kind arising out of my participation in this  event or its related activities which I or my successors, assigns or heirs may have now or in the  future against any of them. I grant permission to all the foregoing to use any photography,  motion pictures, recordings or any other record of this event for any lawful purpose including the  use of my name, likeness, picture, and/or voice. *
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