Yorktown Roadrunners Youth Membership

in Yorktown, IN

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

event logo



Consent, Waiver and Release

In consideration for my child being permitted to participate in Yorktown Roadrunners Youth Running Club, related events, activities, and travel, the undersigned acknowledge and agrees that: as the legal parent and/or as the legally authorized guardian, do hereby for myself, my spouse, my child, and on behalf of my/our heirs, personal representatives, and assigns, agree not to sue and hereby release, waive, discharge, hold harmless and indemnify and forever defend the Yorktown Roadrunners Youth Running Club, the City of Yorktown, Yorktown Community Schools, all sponsors, agencies, subsidiaries, affiliates and beneficiaries, individually and collectively, jointly and severally, all officers, volunteers, members, employees, servants, agents, and directors, from any and all liability, losses, claims, actions, suits, procedures, demands, rights, and causes of action of whatever nature, in law and equity, for any and all known or unknown, foreseen or unforeseen, bodily or personal injuries, death and permanent injury, illnesses, damage to property, or other losses, and any consequences thereof, including expenses, costs, and attorney’s fees, as may be sustained by my child or me arising out of or in any way associated with my child’s participation in Yorktown Roadrunners Youth Running Club, or travel incident thereto, whether by negligence or not to the fullest extent permitted by law. The risk of serious injury to my child from participation in activities does exist including the potential for permanent disability and death. I understand and fully acknowledge that my child’s participation in these activities is solely at our own risk and I assume full responsibility. I hereby further declare that my child has had a recent physical examination and is physically able to participate in all club activities. Moreover, I hereby understand and affirm that any expenses incurred related to medical care provided to my child will be the responsibility of my primary insurance carrier or me. I grant full permission to any and all foregoing use to my child’s likeness, including photos and videotape, for publicity and advertising purposes without compensation.



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 3:52:43 AM EDT on 05/07/2025.