Sgt. Brian Dulle 5K Walk - 12th Annual

at Brian's Memorial at Warren Co Sheriff's Office in Lebanon, OH

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




RELEASE OF LIABILITY:

I know that running/walking in a road race is a potentially hazardous activity. I represent that I am medically able and properly trained to participate on this event. I assume all risks associated with this event including, but no limited to, heat exhaustion, falls, contact with other participants, effects of weather, dangerous traffic conditions, etc., all such risk being known and being recognized by me. I hereby agree, for myself and my heirs, assigns, personal representative, executors and administrators, to waive, release, and forever discharge the Sgt. Brian Dulle 5K Walk and its respective directors, officers, and employees, volunteer, and any and all sponsors, suppliers and other personnel assisting or connected with this event, any rights, claims, or demands therefore which I may have or which I may hereafter accrue to me arising out of injury to my person or my property incurred in connection with participation in the Sgt. Brian Dulle 5K Walk on September 22, 2024.

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 8:22:34 PM EDT on 09/15/2024.