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Law Enforcement Torch Run for Special Olympics Minnesota
<br />NAL LEG
<br />Registration Form + Waiver
<br />Please complete the following information to participate in your area's Final Leg Running Event of the Law
<br />Enforcement Torch Run for Special Olympics Minnesota. Your Agency's LETR Liason will have all logistical
<br />details for your event, and they are the best resource of information regarding your participation. For all other
<br />questions, please email Special Olympics Minnesota at torchrunCahsomn.ora or call 612.333.0999
<br />Name
<br />Agency
<br />Address
<br />Shirt Size
<br />City State Zip/Postal Code
<br />Email
<br />Phone
<br />$20 Registration Fee Includes participation in the Final Leg Running event and 2023 LETR shirt or hat!
<br />All donations to Special Olympics Minnesota are tax deductible.
<br />Please make checks payable to Special Olympics Minnesota/Torch Run
<br />ALL PARTICIPANTS MUST READ AND COMPLETE COMPLETE THE FOLLOWING WAIVER
<br />In consideration of participating in the Law Enforcement Torch Run For Special Olympics, I represent that I understand the nature of the event and that I
<br />and/or my minor child am qualified, in good health, and in proper physical condition to participate in such event. I acknowledge that if I and/or my minor
<br />child believe event conditions are unsafe, I and/or my minor child will immediately discontinue participation in the Activity.
<br />I fully understand that the event involves risks of serious bodily injury, including viral infections, bacterial infections and other communicable diseases and
<br />illnesses, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the
<br />event, the conditions in which the event takes place, or the negligence of the Releasees named below: and that there may be other risks either not
<br />known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I and/
<br />or my minor child incur as a result of my and/or my minor child's participation in the Activity.
<br />I hereby release, discharge, and covenant not to sue Special Olympics Minnesota, their respective administrators, directors, agents, officers, volunteers,
<br />and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the activity takes place, (each
<br />considered one the "RELEASEES" herein) From all liability, claims, demands, losses, or damages on my account and/or that of my minor child caused or
<br />alleged to be caused in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations; and I further agree that
<br />if, despite this release, waiver of liability, and assumption of risk, I, or anyone on my and/or my minor child's behalf, makes a claim against any of the
<br />"releasees", I will indemnify, save, and hold harmless each of the "releasees" from any loss, liability, damage, or cost, which any may incur as the result of
<br />such claim.
<br />I grant Special Olympics permission to use my likeness, voice, and words in television, radio, film or in any other form to promote activities of Special
<br />Olympics.
<br />I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, AND PARENTAL CONSENT AGREEMENT,
<br />understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and
<br />intend it be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is
<br />held to be invalid the balance, notwithstanding, shall continue in full force and effect.
<br />Signature Date
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