Third Annual Light Ones Path 5K Run/Walk Registration Form
PAYMENT INSTRUCTIONS:
Provide details for each participant in the form below.
Click on Add to Cart button.
At the PayPal page, click on the Continue Shopping link to return to this page.
Add more participants from your family/team.
When you have added all participants from your family/team, click on the Checkout button on the PayPal page to submit your final payment.
Please Note: By clicking on the Add to Cart button above, you are implicitly agreeing to the release of liability.
Release of Liability In consideration of acceptance of this entry I waive all claims of myself against the sponsors, cooperating and coordinating groups and any individuals associated with this event and will hold them harmless for any and all injuries which may result from my participation. I hereby give my permission to the media to use my name and photographs in the newspaper, broadcast, telecast of this event without limitation or obligation. I certify that I am physically fit for this event and I understand the risks involved by participating in this event. I remain legally responsible for any personal actions taken by me. I agree to hold harmless and defend the Light Ones Path Foundation, its officers, directors and agents, or representatives associated with the event, arising from or in connection with myself attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the Light Ones Path Foundation, its officers, directors and agents, or representatives associated with the activity for reasonable attorney's fees and expenses arising in connection therewith. Medical Matters: I hereby warrant that to the best of my knowledge, I am in good health, and I assume all responsibility for the health of myself.