Step 1 of 4 (Registration Agreement)

Quarryman Challenge

Saturday, May 12, 2018 in Lemont, IL at Lemont Village Hall, 418 Main Street

  • 10-Mile

* Click here for fee information

Event Waiver and Release Form


In consideration of the undersigned being given the opportunity to observe and/or take part in The Quarryman Challenge 10 Mile & 5K in any manner whatsoever, presented, sponsored, operated or provided by the Village of Lemont, the undersigned hereby recognizes, acknowledges and assumes any and all risk of injury (including death) pertaining to observing or taking part in the Quarryman Challenge 10 Mile & 5K

The undersigned also acknowledges that he/she has received and reviewed pertinent printed and online materials relating to the Quarryman Challenge 10 Mile & 5K and agrees to participate voluntarily and at his/her own risk. The undersigned affirmatively states that he/she does not suffer from any type of ailment, illness or disorder that affects or may affect the undersigned's ability to participate in the Quarryman Challenge 10 Mile & 5K. The undersigned hereby acknowledges and assumes any and all risk of injury (including death) with relation to any type of ailment, illness, disorder or abnormality, whether known or unknown.

The undersigned hereby releases and agrees to defend, indemnify and hold the Village of Lemont, its officials, agents, employees, all members of the Quarryman Challenge Race Committee, sponsors and volunteers harmless from any and all liabilities, claims, injuries or damages of whatever nature, arising from, as a result on account of, directly or indirectly, observing or participating in the Quarryman Challenge 10 Mile & 5K.

Any and all questions or concerns shall be brought to the attention of the Village of Lemont prior to participating in the Quarryman Challenge 10 Mile & 5K. The Village of Lemont reserves the right to deny participation to any person for any reason whatsoever.

This Waiver of Liability and Hold Harmless Agreement shall be governed by the laws of the State of Illinois and jurisdiction shall be proper only in the County of Cook, State of
Illinois. The invalidity or un-enforceability of any of the provisions hereof shall not affect the validity or enforceability of the remainder of this Agreement.

The undersigned must complete this waiver prior to participation in the Quarryman Challenge 10 Mile & 5K.

All transactions are final. There are no refunds, cancellations or transfers.

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 12:38:58 PM EST on 02/25/2018.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 12:38:58 PM EST on 02/25/2018

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