Step 1 of 4 (Registration Agreement)

Tishomingo Firefly 5K & 1M Fun Run - 9th Annual

Friday, April 30, 2021 in Tishomingo, OK at First United Methodist Church - 202 N. Neshoba

  • 5K Run/Walk
    Senior Citizens (55 and up) will be charged a discounted fee of only $15 at checkout.
    Youth (16 and under) will be charged a discounted fee of only $10 at checkout.



* Click here for fee information


Waiver:

I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I also know that although police protection will be provided, there will be a possibility of traffic on the course. I assume the risk of running in traffic. I also assume any and all other risks associated with running this event including but not limited to falls, contact with other participants, the effects of the weather, including high heat and/or humidity and the conditions of the roads, all risks being known and appreciated by me. Furthermore, I agree to yield to all emergency vehicles. I further agree not to go back into the course after finishing. Knowing these facts and in consideration of your accepting my entry, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive and release and discharge any and all race sponsors, race officials, volunteers, local and state police including any and all of their agents, employees, assigns, or anyone acting for or on their behalf from any and all claims or liability from death, personal injury, or property damage of any kind or nature whatsoever arising out of, or in the course of my participating in this event whether same be caused by negligence or fault. This release and waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants permission to sponsors and/or agents authorized by them to use any photos, video tapes, motion pictures, or any other record of this event for any purpose. Minors accepted only with parent or guardian’s signature. No refunds. No makeup weather date.

I understand that this event may be cancelled by conditions outside of the control of event organizers for the safety and well-being of event staff, participants and the community; such as severe weather, civil unrest, pandemics, bans on public gatherings, threat of terrorism, or other unforeseen circumstances that would make the event non-viable, and if so, I consent that I am not entitled to a refund or deferral once my race registration is complete.



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 7:10:05 AM EST on 03/06/2021.







Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 7:10:05 AM EST on 03/06/2021


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