Step 1 of 4 (Registration Agreement)

Joe’s Run 5K & 10K Presented by Samaritan House

Saturday, June 1, 2019 in Fort Worth, TX at Magnolia on the Green - 1201 Lipscomb Street

  • 5K Run

  • Virtual Runner

* Click here for fee information

Waiver & Release

I understand that participating in Joe's Run 5/K or 10/K (Event) race is a potentially dangerous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of Race Official relative to my ability to safely complete the run or walk. I assume all risks associated with running or walking in the Event including, but not limited to, falls, contact with other participants, the effects of the weather including heat and/or humidity, traffic and conditions of the road, all such risk being known and appreciated by me. Having read this wavier and knowing these facts and in consideration of Event host accepting my entry, I, for myself, and anyone entitled to act on my behalf waive and release Samaritan House, Tarrant Regional Water District, City of Fort Worth, Chip2Chip Race Timing Company and all sponsors, their representatives and successors, from all claims or liabilities of any kind arising out of my participation in this event though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all the foregoing, to use any photographs, motion pictures, video or audio recordings, or any other record of this event for legitimate purpose. Event is expected to be held regardless of weather conditions unless there are circumstances beyond the control of the event host. Registration is final, no refunds will be given, instead it will be considered a donation to Samaritan House and I will receive a donation receipt within 30 days of the Event date at the email address listed on this form.

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 8:15:21 PM EDT on 04/20/2019.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 8:15:21 PM EDT on 04/20/2019

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