Grace Race Online Registration Form

Your Full Name *
First Name
Last Name
Phone Number*
Select Your Age *
Race Category *
Emergency Contact Name*
Contact's Home Phone
Contact's Cell Phone
RELEASE OF LIABILITY STATEMENT As the competitor or parent/legal guardian of the entrant(s), I expressly acknowledge and agree that the activities could be dangerous and involve the risk of serious injury and/or death and /or property damage. Therefore, I Hereby Release, Waive, Discharge and Covenant not to sue the city of Hopewell, First Baptist Church, its event committee, officers, directors, members, volunteers, employees, agents, sponsors, other participants, operators, officials, any persons in any restricted area, advertisers, owners and lessees of premises used to conduct the event and each of them, their officers and employees, all for the purposes herein referred to as "releases", from all liability to me, my personal representatives, assigns, heirs, and next of kin for any and all loss or damage, and any claim or demands therefore on account of injury to me or my property or resulting in my death, whether caused by negligence of the releases or otherwise while I am in or upon the restricted area and/or completing, officiating, in, observing, working for, or for any purpose participating in the event and whether caused by the negligence of the releases or otherwise. I further expressly agree that the foregoing release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted, that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.
Participants must initial to agree to the above waiver. (Parent or guardian required to initial for all participants under the age of 18.)*