Race Registration


PARTICIPANT INFORMATION

First Name:

Last Name:


Street Address:

City:

State:

Zip:


Primary Phone:
 No dashes- ex. 2605551212
Email Address:


 Age as of 4/13/2019

Gender:


EVENT INFORMATION

Select Event: 

Predominant Style: 

Select Shirt Size:



DISCLAIMER

I have read the Discover Roanoke 10K/5K entry form completely and understand the policies of the events. I know that participating in a road race is a potentially hazardous activity. I should not participate unless I am medically and physically able to do so and it is my sole responsibility to determine if I am medically and physically able to participate in the event. I understand the nature of the event and I ASSUME ALL RISKS associated with my voluntary participation in this event including, but not limited to falls, contact with other participants, the effects of the weather, including extreme temperatures and precipitation, and traffic. Knowing these facts, I, for myself, heirs, executors, administrators, or anyone else who might make a claim on my behalf, COVENANT NOT TO SUE, WAIVE ALL CLAIMS AGAINST, AND FULLY RELEASE AND DISCHARGE OnTurf Sports LLC, or its employees, the Roanoke Lions Club, any and all sponsors affiliated with the event, race participants, race officials, workers, and volunteers, for ANY AND ALL claims or liability, whether foreseen or unforeseen, for death, personal injury (whether permanent or temporary), or property damage arising out of, or in the course of, my participation in this event. I further grant full permission to OnTurf Sports LLC and/or agents authorized by them, to use any photographs, video, or other record of the event for any reasonable purpose.

 Accept