4th Annual Armed Forces Day 5K Registration Form
  • / /
    Please enter your date of birth
  • Please enter your age
  • Please enter the email you use for updates on this event
  • RELEASE AND HOLD HARMLESS AGREEMENT

    The Village of El Portal is sponsoring the Third Annual Village of El Portal Armed Forces Day 5k Walk/Run.

    I _____________________________, the undersigned individual participant, agree that I will indemnify, hold and save the Village of El Portal (“Village”), their officers, agents, contractors and employees whole and harmless and at Village’s options defend same, from and against all claims, demands, actions, damages, loss, cost, liabilities, expanses and judgments of any nature recovered from or asserted against Village on account of injury or damage to person or property to the extent that any such damage or injury may be incident to, arise out of, or be caused, either proximately or remotely, wholly or in part, by any act, omission, negligence or the misconduct on the part of the participant that may result from activities related to participation in the Armed Forces Day 5K Walk/Run. I agree that I will comply with the rules of the event as posted or announced at the Registration Desk.
    I fully understand that it is my responsibility to obtain any medical release prior to participating in physical activities. I further maintain I am in good medical condition, good physical health, and can participate in any physical activity.

  • I have read the Release and Hold Harmless Agreement above and acknowledge receipt
  • Schedule of Fees

    Schedule of Fees:
    $15.00 for all El Portal Residents
    $20.00 for Non-El Portal Residents
    $35.00 Same Day Registration
    FREE for All Military Personnel w/ ID
    Payments can be made using the PayPal button below or Please make all checks payable to: Village of El Portal

    All proceeds go to Home for the Troops!
  • Please indicate whether you are Military Personnel, or not. You will be asked for ID the day of the event.
Powered byEMF Online Order Form
Report Abuse