Run/Walk 2023
If you have any questions, please contact us at the church office: (972) 296-5502. Or email us at
cpcoc@swbell.net
* First Name
* Last Name
* I plan to:
Select one
Run
Walk
* Address
* Phone Number
* Email
* Payment
Adult Registration ($25.00)
Cost Per Team (5-10 ppl) Please click "Add Another Person" to complete your team. ($20.00)
Youth ages 15 & Under ($15.00)
Team Name (If Applicable)
CELEBRATING LIFE FOUNDATION
- Please select the amount you would like to personally donate to the Celebrating Life Foundation. (Multiple selections are allowed)
Enter Amount
($5.00)
($10.00)
($20.00)
($50.00)
($100.00)
($200.00)
WAIVER
- I hereby declare, assert and affirm that participation in Central Pointé Church of Christ 2022 5K Run/Walk benefiting the Celebrating Life Foundation is done having voluntarily and knowing assumed ALL RISKS involved in this Special Event. The immediate physical risks and hazards associated with normal, vigorous physical activity include (but are not limited to) physical discomfort, fatigue, muscular soreness, falls, pulled or strained muscles, overuse injuries, heat stress, and the rare instance of abnormal responses of the cardio-respiratory system including heart arrhythmia, heart attack, stroke, and sudden death. In consideration of acceptance of this contract allowing my participation in the above stated Special Event and intending to be legally bound thereby, I hereby for myself, my heirs, executors, administrators and assigns, WAIVE AND RELEASE any and all rights and claims for negligence, injuries, damages or losses that I may incur against all participating agencies involved in the above stated Special Event, specifically Central Pointé Church of Christ, Celebrating Life Foundation, their respective employees, agents, representatives, successors and assigns, for any and all activities connected with the above Special Event. I also understand that I do hereby WAIVE any and all rights or benefits under the State of Texas Worker's Compensation laws for any injury incurred as a result of my participation in this event, including disregard of the posted route. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that my physical condition has been verified by a licensed Medical Doctor. By submitting this entry, I am acknowledging (or a parent or adult guardian for all children under 18 years) I have read and agreed to the above waiver.
PARENT/GUARDIAN CONSENT FORM & LIABILITY WAIVER
- I, hereby grant permission for my child, (Listed in this registration) who is under the age of 18 to participate in the Central Pointé Church of Christ 5k Run/Walk. As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above-named minor (“participant”). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend the Central Pointé Church of Christ, Celebrating Life Foundation, its officers, directors and agents, or representatives associated with the event, arising from or in connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the Central Pointé Church of Church, its officers, directors and agents, or representatives associated with the activity for reasonable attorney’s fees and expenses arising in connection therewith. Medical Matters: I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.
* Electronic Signature - Please eSign by typing your name below. By electronically signing this document, you hereby agree to all elements of this waiver, and give full consent for your child to participate in all activities sponsored by Central Pointe.
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