Great Pumpkin 5k Run/Walk Registration Waiver Form
Friday, October 22nd at 4:30 pm. $5.00 registration fee is required at the day of event. Cash only
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First Name *
Last Name *
ID Number (if applicable)
Phone *
Email *
Waiver
By submitting this form below, I understand that these activities involve dangers that are not foreseeable and that risks are involved in participating in these activities.  I hereby completely assume all risk attached to the activities of this program and I do clearly and irrevocably declare that every act that I might do in participating in such activities is done of my own free will.  I further agree to hold harmless the State University of New York, their officers, directors, agents, employees, instructors, and associates from any and all manner of third party actions or claims and agree to reimburse any claims against the State University of New York, their officers, directors, agents, employees, instructors, and associates arising by reason of my participation in this program.  I have read completely and fully understand, and voluntarily accept the terms of this statement.
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