Step 1 of 4 (Registration Agreement)

CCAC South XCampus 5k

Sunday, October 20, 2019 in West Mifflin, PA at CCAC South Campus (across from bus stop)

  • 5K
    Race Check-In/BIB Pick-up (7:30 AM – 8:45 AM)

* Click here for fee information



Important: This is a legal document. Please read and understand this document before signing.

I, the undersigned, am either the Participant named above or the parent and/or legal guardian ("Guardian/Parent") of the minor Participant named above. I have been informed of the activities which are to take place in the above named event ("Activity").

Terms and Conditions: I will participate, or authorize the Participant to participate, in the above Activity at Community College of Allegheny County. I understand that such participation can include foreseeable and unforeseeable risks and other hazardous events inherent in the Activity which may expose the Participant to potential illness, injury or death. Participant or Guardian/Parent freely and voluntarily participates or allows participation in the Activity with the knowledge of the danger involved and hereby agrees to assume and accept any and all risk of injury or death.

Waiver, Release and Indemnification: Participant or Guardian/Parent of Participant understands and acknowledges that the Community College of Allegheny County ("College") is not an insurer of Participant's behavior, actions or participation in the Activity, and that the College assumes no liability whatsoever for personal injuries or property damages to Participant or to third persons arising out of participation in the Activity. Participant or Guardian/Parent thereby agrees to release, indemnify and hold harmless the College, its officers, employees and agents (collectively the "Releases") from any and all liability, claims, demands, actions and causes of action whatsoever (including legal fees and/or court costs) arising out of or related to any loss, damage, or injury, including death, that may be sustained by Participant or loss or damage to any property belonging to Participant arising out of or related to participation in the above named Activity, and excepting only such loss, damage or injury as may be caused the sole and extreme negligence of any Release.

The undersigned certifies that Participant does not have any medical conditions that would prevent participation in Activity. Furthermore, the undersigned warrants that Participant has adequate health insurance to cover the costs of treatment of any injury associated, or alleged to be associated with the participation in Activity, and/or that undersigned agrees to bear the responsibility of any such costs and the submission of any such medical claims.

The undersigned has carefully read the terms of this Agreement and fully understands its content and signs it of his• or her own free will.

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 11:50:28 AM EDT on 08/17/2019.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 11:50:28 AM EDT on 08/17/2019

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