Restore our Sacred Lake Event registration

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Restore Our Sacred Lake 5k Run/Walk, Saturday, September 16, 2023
Race begins at Onondaga Lake Wegman's Park
Registration beginning at 7:00 a.m.
Race begins at 8:00 a.m.

Cost: Free

Email *

Name *

Phone *

Age *

Address Line 1 *

Address Line 2 *

City *

State *

Zip *

I understand that entry is free *

Yes

Required

Waiver

WAIVER MUST BE SIGNED (This signed and dated form is required in order to participate in the event.)

5k Run and Walk, Waiver and Release Form

I, ___________________________ (print name), acknowledge that my participation in the Restore Our Sacred Lake 5k run and walk involves a risk of injury, including but not limited to bodily injury, and assume the risk for same. On my own behalf and on behalf of my heirs and legal representatives and to the fullest extent permitted by law, I hereby release and discharge the American Indian Law Alliance their fiscal sponsor the Indigenous Values Initiative and their respective directors, officers, employees, affiliates, members, agents and representatives, of and from any and all liability for injury, death or damages and/or any other claims, demands, losses or damages, incurred by me in connection with any aspect of the Restore Our Sacred Lake 5k run and walk event
*

Signature *

Date *

YYYY

Signature of Parent or Legal Guardian (if under 18 years old) *

I understand I will have to sign the waiver again day of the event. *

Yes

Required

A copy of your responses will be emailed to the address you provided.

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