Paul Skeffington Memorial Race - 36th Anniversary

Saturday, June 17, 2023 at DeWitt Community Center 512 10th Street in DeWitt, IA

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Waiver and Release

In consideration of acceptance of this entry, I intending to be legally bound hereby, for myself, my heirs, executors and administrators, release any and all rights and claims for damages I may have or that may hereafter accrue to me against the City of DeWitt, Iowa, and any City of DeWitt official and/or volunteers, sponsors, managers, and operators associated with the event I am entering for any injuries incurred by me during, because of, or in travel to or from the Paul Skeffington Memorial Race.

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  • 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 7:32:22 AM EDT on 05/30/2023.