EmailMe Form - Run for Victims

Run for Victims - Color Fun Run

Please complete this form to register for the Color Fun Run. This form must be completed by an adult (18+) even if they are not participating. You can list those who will be participating and their ages in the Participant Names box below.

You must complete and submit the participant liability waiver and media release before you will be allowed to participate in the event.

You must also submit payment before being allowed to participate. Registration is $25 prior to August 1 and $30 from August 1 onward including day of event for each participant. You can pay online via PayPal or pay with cash by stopping in the Crime Victims' Center office (6 Oliver Rd, Oliver Square Plaza, Uniontown) prior to the event or the day of the event.

Name
Email
Phone
### - ### - ####
Participant Names and Ages and Shirt Sizes
I understand that I must complete all waivers and payments before being allowed to participate in the event.
I understand
Number of Registrations
Liability & Media Releases
Event Name: 2025 Run for Victims
Date: Saturday, August 16, 2025
Location: Hutchinson Park - Uniontown PA

Acknowledgment and Assumption of Risks:
I, the undersigned participant (or parent/guardian if participant is a minor), hereby acknowledge and agree that participation in the Fun Run involves inherent risks. These risks may include, but are not limited to, slips, falls, contact with other participants, and exposure to colored powder. I understand that these risks are associated with the nature of the event and may result in injury or harm. I voluntarily assume all such risks and agree to release, discharge, and hold harmless Crime Victims Center of Fayette County, Domestic Violence Services of Southwestern PA, and SKW Foundation, its officers, volunteers, sponsors, and any other associated parties from all claims, liabilities, demands, actions, or causes of action, whether known or unknown, arising out
of my participation in the event.

Medical Authorization:
In the event of an injury or illness during the Fun Run, I authorize event organizers and their
representatives to seek medical treatment on behalf of the participant and agree to be financially responsible for any costs associated with such treatment.

Media Release:
I grant permission for event organizers to use photographs, videos, or other media taken during the run/walk for promotional purposes.

Parent/Guardian Consent (if participant is a minor):

I, as the parent or legal guardian of the participant, hereby consent to their participation in the 2025 Fun Run and acknowledge that I have read and understand the terms of this liability release. By completing registration for the 2025 Fun Run, you acknowledge that you have read, understand, and agree to the terms and conditions outlined in the Liability & Media Release Form.

Your registration serves as your voluntary acceptance of the risks associated with participating in the event and your commitment to adhere to the rules and guidelines set forth by Crime Victims Center of Fayette County, Domestic Violence Services of Southwestern PA, and SKW Foundation.
Signature
Clear
Your signature means that you have read & understand the liability & media release.