Emergency Name & Contact:

Waiver, I know that running/walking is a potentially hazardous activity. I should not enter and run this race unless I am medically able and properly trained. I agree to abide by any decisions of a race official relative to my safety. I assume all risks associated with running/walking including but not limited to falls, contact with other participants, the affects of the road and traffic on the course, all such risks are known and appreciated by me. Having read this waiver and knowing these facts I, for myself, and anyone entitled to act on my behalf, waive and release Two Hearts for Hope, City of Lebanon, MO and their employees, all sponsors, their directors, officers, employees, agents, representatives and successors from all claims or liabilities of any kind of nature whatsoever arising out of my voluntary participation in this race even though that liability may arise out of negligence or carelessness on the part of the persons named on this waiver. I also release the above named for all claims of damages, demands and actions, in any manner due to any personal injuries, property damage, or death sustained as a result of my traveling to and from and my participation in said race. I acknowledge I have read and fully understand the terms of the agreement and that I am physically fit, have sufficiently trained for the competition of this event, and fully understand my own liability and ability.

Signature
If you are under the age of 18 a parent or guardian must sign. Please download our form and mail info to us.

Date