Van Buren Popcorn Festival Kernel 5K

Saturday, August 9, 2025 at State Road 5 in front of the Library in Van Buren, IN

What category would you like to sign up for? You can sign up for any of the following categories.

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Waiver and Release

I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume the risk of running/walking in traffic having read this waiver and knowing these facts and in consideration of you accepting my entry. I, for myself and anyone entitled to act on my behalf, hereby waive and release all sponsors, officials, persons and agencies in any way connected to this event including but not limited to, the town of Van Buren, the Van Buren Popcorn Festival and race committee, from all claims and liability arising from injuries to my persons or damage to my property as a result of my participation in these events. By signing this waiver, I verify that I am physically fit and adequately trained to participate in these events. I further give my permission to the sponsors of the Van Buren Popcorn Festival Kernel 5K to use my name, picture, and/or performance information in any newspaper, broadcast, telecast, or other account of this event, without limitation. I acknowledge that I fully understand the terms of this waiver and I hereby execute it with the intent to be legally bound hereby.

Please Sign Below

Your electronic signature is the online equivalent of your ink-on-paper signature, and can be provided by typing your name where indicated. The electronic signature will signify your understanding, acceptance, and authorization to accept the conditions of this legal document, including the following statements:

  • I have read, have understood, and do accept the agreement above.
  • I understand that this is a legal document with effects that I approve and authorize.
  • The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
  • I am authorized to agree to the terms of this document on behalf of the registrant.
  • If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.

Electronic Signature

You must be 18 years of age to legally complete this registration. If the registrant is under 18, an authorized adult must complete this form.
If the person you are registering (registrant) is under 18, do not enter his/her age. You will do that on the next step. Enter your age here as the person completing the form.




Multiple signers should separate their signatures with commas.


This agreement was generated at 11:40:09 AM EDT on 04/05/2025.