Register For
Thanksgiving Day 5K and Kids Fun Run

Stephens City, VA 22655

Registrant #1

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Choose Your Event *

Open to ages 6 - 7.

$20.00 + $1.76 SignUp Fee

Open to ages 8 - 9.

$20.00 + $1.76 SignUp Fee


Waiver

WAIVER, RELEASE OF LIABILITY, & ASSUMPTION OF RISK AGREEMENT

IN CONSIDERATION of the registrant being granted permission to enroll and participate in this event, I, for myself, and on behalf of my spouse, children, parents, guardians, heirs, and next of kin, hereby release and hold harmless the County of Frederick, VA, its employees, officers, agents, and volunteers, the Board of Supervisors of Frederick County, its employees, officers, agents, and volunteers, and the School Board of Frederick County, its employees, officers, agents, and volunteers from any and all claims, demands, costs, charges, expenses from any harm, injury, damage, suit or loss which may be sustained by the above person or person’s as a result of, or relating to, participation in this e\vent.

Physical Health. I hereby represent that (i) I am in good health and in proper physical condition to participate in the Event; and (ii) I am not under the influence of alcohol or any illicit or prescription drugs and will not be under any such influence at the time of the Event, which would in any way impair my ability to safely participate in the Event. I agree that it is my sole responsibility to determine whether I am sufficiently fit and healthy enough to participate in the Event.

Consent to Medical Care. In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

Release of Image. The County of Frederick, VA reserves the right to photograph and videotape all activities, events, classes, programs, and facilities for promotional purposes.

Assumption of Risk. I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event ncluding, but not limited to falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those, and other risks typically found in running a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the run, and I hereby expressly and voluntarily choose to assume all such Risks and responsibility for any damages, liabilities, losses or expenses which I incur as a result of my participation in the Event

COVID-19 Assumption of Risk. I acknowledge and understand that the World Health Organization has declared COVID-19 a worldwide pandemic. The County of Frederick, VA follows the guidelines of the CDC as it relates to cleaning and disinfecting touchable surfaces however, we cannot guarantee that you or your child(ren) will not become infected with COVID-19. Persons with symptoms should stay home until CDC criteria for ending isolation have been met. Persons with severe symptoms may need to be evaluated by a healthcare provider. Further, participating in this event could increase your risk and your child(ren)’s risk of contracting COVID-19. I understand these risks. I understand that my participation in this program is voluntary and that there is a potential risk of exposure to illness including COVID-19 in so participating. I also understand that the County of Frederick, VA cannot guarantee that I will not be exposed to or contract COVID-19 during my or my child(ren)’s participating during this activity.   

Cancellation. The County of Frederick, VA reserves the right to postpone or cancel the event due to circumstances beyond our control such as a natural disaster or emergency or as required to protect the safety of participants and staff. No refunds will be issued under these circumstances. We reserve the right to change the details of the event without prior notice. I understand that my entry fee is nonrefundable and bib numbers are non transferable.

Release of a Minor. I am the parent or legal guardian of the above-named participant, and I agree that the participant may take part in the Event. On behalf of the participant, I hereby irrevocably and unconditionally (1) agree to all of the terms of this Agreement, and (2) authorize any of its designees to arrange or any necessary medical treatment for the participant. I also, for myself and on behalf of my heirs, estate, insurers, successors and assigns, hereby fully and forever release and discharge the Released Parties (defined above) from any and all claims or causes of action that I may have for damages for personal or bodily injury, disability, death, loss or damage to person or property, whether arising from the negligence of any or all of the Released Parties, or otherwise, to the fullest extent permitted by law.




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