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VIRTUAL 2014 17th Annual Music That Heals 5K Race
This Form Is For Out-Of-State Runners Only
Sunday, September 28, 2014
Description: This is a virtual run if you are not in ...
This is a virtual run if you are not in Brooklyn for race day, you can still run with us. Please run/walk 3.1 miles on Sunday, September 28th, at 10am if possible. Afterwards, please send us your time and a photo/selfie after you’ve completed your 5K. We will post all photos in a email blast following the race event. Thanks for participating in the Virtual Music That Heals 5K Run. This is a virtual run if you are not in Brooklyn for race day, you can still run and send in your time!
(* - Required)
This is a virtual run if you are not in Brooklyn for race day, you can still run with us. Please run/walk 3.1 miles on Sunday, September 28th, at 10am if possible. Afterwards, please send us your time and a photo/selfie after you’ve completed your 5K. We will post all photos in a email blast following the race event. Thanks for participating in the Virtual Music That Heals 5K Run.
THIS FORM IS FOR OUT-OF-STATE RUNNERS ONLY
Virtual 5K Race - includes T-shirt and bib - $35.00
Virtual 5K Race - includes bib only - $25.00
Waiver: Please read the below terms and conditions carefully. It includes ...
Please read the below terms and conditions carefully. It includes a release of liability and waiver of legal rights and deprives you of the ability to sue certain parties. Do not agree to this document unless you have read and understood it in its entirety. By agreeing electronically, you acknowledge that you have both read and understood the text presented to you as part of the registration process. You also understand and agree that events carry certain inherent dangers and risks which may or may not be readily foreseeable, including without limitation personal injury, property damage or death. Your ability to participate in the event(s) is/are subject to your agreement to the waiver and by agreeing herein, you accept and agree to the terms of the waiver and release agreement. By indicating your acceptance, you understand, agree, warrant and covenant as follows: I will run/walk in a safe area away from any vehicular traffic. I am voluntarily run/walking in the Virtual Music That Heals 5K event. I understand the Music That Heals, Meme Marketing Inc, Hospital Audiences inc, and any and all other persons and organizations involved with this event are not to be held responsible for any injuries which I may suffer while taking part in this event. I hereby waive any claim for damages to my person or property. I am a running/walking participant in this event at my own risk. By signing below (or, if submitted electronically, by clicking "I agree" to the above waiver which will constitute my valid signature), I acknowledge my understanding that my participation in the the race and/or running event and/or any pre- or post-race or running event activities (the race and pre/post-race and/or running event activities are individually and collectively referred to as the "Event") involves rigorous physical activity and that it potentially may be hazardous. I attest and verify that I am physically fit and have sufficiently trained for the Event and that, if appropriate, my physical fitness to participate in the Event has been verified by a licensed medical doctor. I expressly assume all known and unknown risks associated with the Event, including but not limited to: loss of or damage to my property; injury (including death); accidents; the effects of weather; terrain conditions that may vary widely, and that may include uneven and/or slippery surfaces, unpredictable spectators/participants, and natural and man-made obstacles (including without limitation, vehicles, security barriers, signs, cables, mats, and debris on the course); and the possibility that an Event may be postponed, ended early or cancelled altogether by Event or government officials.I acknowledge that there are absolutely no refunds or transfers in the event that the event is postponed, cancelled, or that I cannot participate. In consideration of my participation in the Event, I, for myself, my heirs, executors, administrators, personal representatives, successors and assigns (a) waive and release any and all rights, claims and causes of action I have or may have against any Race Organizer (as defined below) that may arise as a result of my participation in the Event; and (b) agree to indemnify, defend, and hold harmless all Race Organizers from and against any and all injuries, losses, causes of action, liabilities, damages, expenses (including attorney’s fees and court costs) or claims (collectively, "Claims") that might arise directly or indirectly from my participation in the Event and/or the condition of the course, property, facilities or equipment used for the Event, regardless of when such Claim may arise including, without limitation, Claims relating to (i) theft, loss or disappearance of property, (ii) bodily injury (including fatality), and (iii) property damage, for all claims and losses (including attorney’s fees and court costs), which may be brought against any one or more of them by anyone claiming to have been injured or otherwise to have suffered loss or damage as a result of my participation in the Event. For these purposes, a "Race Organizer" is any one or more of the following: the hosting organization and each of their respective subsidiaries, affiliates and lenders; City of New York Department of Parks and Recreation; New York City Police Department; Music That Heals, Meme Marketing Inc, Hospital Audiences inc, The City of New York ; all governmental agencies representing the territory in which the Event will be held and from which resources (such as, without limitation, fire, police and ambulance personnel) are provided; all sponsors, agents, vendors, medical personnel and contractors and volunteers of or for the Event; emergency (for example, fire and police) and all medical service providers; and the officers, directors, employees, representatives, affiliates, volunteers, agents, successors and assigns of each of the foregoing. I further grant full permission to any and all Event Organizers to store, use, reproduce and/or resell my image or likeness by any audio and/or visual recording technique (including electronic/digital) now in existence or hereafter invented, for any legitimate purpose, including commercial sales and marketing purposes. I understand and agree that information about me that is collected by the Event Organizers, including without limitation information in the application this form, and my Event results, and any and all medical information that I may disclose to Event medical personnel, may be disclosed to third parties for any legitimate purpose, including research, commercial sales, and marketing purposes, and that it may be subject to re-disclosure by the recipient(s). I also grant the Event medical personnel and their respective agents and designees access to all medical records (and physicians) as needed and authorize medical treatment as needed. I acknowledge and agree to abide by any Official Rules for the Event that may be posted at the Event or on the Event’s website or otherwise communicated to me verbally or in writing at the Event by Event officials. I hereby represent and warrant that I am 18 years of age or older or, if applicable, that I am the parent or legal guardian of the child under the age of 18 years old who I am registering for the Event and that I have the full power and authority to agree to these terms on behalf of such child, and to bind him/her to these terms.
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Age (on race day) *
Daytime phone number
District of Columbia
How did you hear about the event
if code is valid, it will be applied right away on the subsequent payment page. no refunds if invalid or expired.
Please name the state you are running in: ex: Maine, Florida, Ohio, etc…
Want us to send a friend(s) of yours this application, please provide their email address(es) here:
Please note that you can pay directly with your credit card on the PayPal payment page.
NO REFUNDS, NO EXCHANGES for all event payments
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