Be Well 5K Waiver and Sign Up

Join us for the Be Well 5K in conjunction with The Westin Hilton Head Resort and Spa! The race will take place on February 18th at 11am

Run/walk on the beach 1.55 miles, and then turn around. Start and Finish at The Westin. Sign up required, but free to participate!

Sign in to Google to save your progress. Learn more
Last Name *
First Name *
Email *
Date *
MM
/
DD
/
YYYY
Are you local? *
I have read and understand the below waiver. By typing my name below, I understand it acts as my electronic signature. *

In consideration of your accepting me/my child’s/family registration, I hereby for myself, my child, my family, my heirs, executors and administrators waive and release any and all rights and claims for damages I or my child or family may have against the Hilton Head Island Recreation Association, including all representatives who are in any way connected with the Association’s events/programs. Further, in the event of any injury, I do hereby give my permission and consent to authorize such First Aid and/or Medical and/or Hospital care or treatment as deemed appropriate. In addition, I am fully aware of the provisions covered by the fee for any event/trip/program I have registered for and I understand that if any emergency arises, and all additional expenses incurred must be borne or assumed by the participant. The Island Recreation Association has my permission to take photographs of my child or myself while using the Island Recreation or participating in any Island Recreation Association programs, special events and activities. I understand that these photographs may be used for the Island Recreation Association advertising through and not limited to brochures, flyers or newspaper articles. I have full and complete legal authority to sign on behalf of myself, family, and my child(ren).

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Island Rec Center. Report Abuse