DMB Run Club Registration
Event Timing: 6:30 Biweekly Starting October 24 - March 26, 2023/24
Event Address: DOG MOUNTAIN BREWING 3141 - 3rd ave, Port Alberni, BC
Contact us at (250) 731-8810, dogmountainbrewing@gmail.com
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Email *
Name - First, Last *
Phone Number *
Emergency Contact - Name, Relation, Phone Number *
I understand that only by paying the full registration fee (below) I will be eligible for all awards at the DMB Run Club gala and award ceremony on March 24th, I will also receive a DMB Run Club hat.  *
Required
 I intend to participate in the DMB Run Club as organized by Dog Mountain Brewing. I have familiarized myself with running and understand my participation is self-directed and unsupervised. I have consulted with a health care professional and agree that I may experience potential health risks, bodily injury or death and I assume full responsibility for those risks or injury. I hereby release, waive and forever discharge Dog Mountain Brewing and its respective employees, agents and representatives of and from all claims, demands, damages, costs, expenses, actions and causes of action, in respect to death, injury, loss or damage to my person or property however caused, arising or to arise by reason of my participation in DMB Run Club, whether as a spectator or participant or otherwise. I further agree to hold harmless and indemnify Dog Mountain Brewing and DMB Run Club and its employees, agents, and representatives from and against any and all claims arising from, or in any way connected with my participation in DMB Run Club. By checking the box below, I acknowledge I have read, understood and agree to the above Release, Waiver and Indemnity   *
Required
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