SAFE 5k Runner Registration

Date: Sunday, October 13, 2019

Start Time: 15:00

Location: Bartley Ranch Regional Park, Reno, Nevada

This USATF sanctioned 5k run is open to all SAFE Association Symposium attendees, friends and spouses. Walkers are also welcome!

Click here for event details

5k Runner Registration Form

= required fields

First Name:

Last Name:

Gender:

Age Group:

Shirt size:

Mailing Address Line 1:

Mailing Address Line 2:
(if applicable)

If located in the U.S., please enter your Zip Code:

City:

State:

Country:

Province:

Foreign Postal Code:

Phone:

Email Address:

Emergency Phone:

Emergency Name:

Comments:

Waiver and Release

I, individually, (and/or as a parent, and or guardian of the named minor) for and in consideration of acceptance of this entry in the aforementioned event, do hereby release, remise, waive, and forever discharge SAFE Association, USATF, and any other supporting groups of this said running/walking event, together with all their officers, agents and employees, from any and all liability, claims demands, actions, or causes of actions whatsoever arising out of, or relating to any injury, illness, loss or damage, including death, relating to participating in the aforesaid event. I further state I am in the proper physical condition to participate in this event.

* I understand and agree to the waiver and release above