Step 1 of 4 (Registration Agreement)

The Vineyard Trail Run

Saturday, August 12, 2017 in Hermann, MO at Adam Puchta Winery

  • 2 Mile Adventure Run (with obstacles)

  • Purchase a Shirt Only - Not a Run Entry

  • Donation Only

* Click here for fee information

Waiver of Liability

Waiver of Liability: In consideration of this entry, I the undersigned or, intending to be legally bound hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims or damages I may have against Hermann Area District Hospital, City of Hermann, and Adam Puchta Winery and their representatives, sponsors, volunteers, its successors and assigns for any and all injuries suffered by me in said event. I authorize use of event media for promotional purpose. I understand that this entry fee is non-refundable.

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

Multiple signers should separate their signatures with commas.

This agreement was generated at 8:28:30 AM EDT on 06/29/2017.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 8:28:30 AM EDT on 06/29/2017

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