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Registration
*
Indicates required field
Name
*
First
Last
Age
*
Less than 13
13-17
18+
If you are under 18, parent/guardian release and consent are required. If you are under 13, adult supervision at the event is required.
Email
*
Phone Number
*
T-Shirt Size:
*
X-Small
Small
Medium
Large
X-Large
Note: Selected t-shirt size is not guaranteed. We will do our best to match your size based on availability. Only the first 30 runners to register will receive a t-shirt.
Emergency Contact
Name
*
First
Last
Phone Number
*
Waiver & Release
I recognize and acknowledge that there are certain risks of physical injury to participants in the Color Run, and I voluntarily and knowingly agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that I may sustain as a result of said participation. I further agree to waive and relinquish all claims I may have (or which may accrue to me) as a result of participating in these activities against WellSpring Community Network, NAMI Pacific County, or Ilwaco High School including its officers and employees, the race officials, volunteers, sponsors, and the owners of the venue (hereinafter collectively referred to as "Administrators").
Participants registering for the race, programs/activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities/programs. I agree that I am solely responsible for determining if I am physically fit and/or skilled for the race or activities contemplated by this Assumption and Release. It is always advisable, especially if the participant is pregnant or disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity. I, for myself and my heirs, do hereby fully release and forever discharge the Administrators from any and all claims for injuries, including death or incapacity, illnesses, damages, expenses or loss that I may suffer arising out of, connected with, or in any way associated with the race, program or activities.
I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. When registering online, my online signature shall substitute for and have the same legal effect as an original form signature. PARTICIPATION WILL BE DENIED, if I have not signed this waiver before the start of the event.
Online Signature
*
I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims.
Photo/Video Consent
I give my consent to WellSpring Community Network to use any photographs/video containing my image in health promotion/education-related activities and media including: website and other electronic media, publications, Public Service Announcements (televised and print), news reports and feature stories, public awareness efforts, and other related materials. I waive all claims to compensation for such use.
Online Signature
*
I have read and fully understand the above consent and agree to the release.
Parents/Guardians Waiver, Release & Consent (Required for Participants Under 18)
I, the parent or guardian of the above named participant, have read through this waiver and all its terms, and I hereby give my
approval to this child's participation in the Color Run. I assume all risks and hazards incidental to my child's participation in the Color Run, and I hereby waive, release, absolve, indemnify and agree to hold harmless the Administrators, as defined above, for any injury to my child and from any and all claims, causes of actions, obligations, lawsuits, charges, complaints, controversies, covenants, agreements, promises, damages, costs, expenses, responsibilities, of whatsoever kind, nature or description, whether, direct or indirect, in law or in equity, in contract or in tort, or otherwise, whether known or unknown, from all claims or liabilities of any kind arising out of or connected with my child's participation in the Color Run. I consent to the foregoing and grant permission for him/her to participate in the Color Run.
If my child is under the age of 13, I understand that he/she must be accompanied by an adult at all times at the Color Run. I understand that my child under the age of 13 will not be allowed to participate without an adult present.
I hereby give my consent to WellSpring Community Network to use any photographs/video containing my child’s image in health promotion/education-related activities and media including: website and other electronic media, publications, Public Service Announcements (televised and print), news reports and feature stories public awareness efforts, and other related materials. I waive all claims to compensation for such use.
Name of Parent/Guardain
*
First
Last
Online Signature
*
I have carefully read, accepted and agreed to the terms on this Assumption and Release and Liability waiver, and know and understand their contents .
This field is required for all participants under 18.
Register
Home
About
Teams
Activities
Calendar
Film Resilience
Mini-Grants
Rx Take Back
Children In Between
Resources
Peninsula Poverty Response
ACEs & Resilience
>
Resiliency Resources
Schools
Community
Pacific County Resource Directory
Responsible Retailer Program
>
RRP Application
Resources for Retailers
Asset Builders
40 Developmental Assets
Past Awardees
Nominate
Get Involved
Contact