Runner name ____________________________________________________________
Phone Number _____________________________________________________________
I, acknowledge that my participation in the Trick or Trot 5k or fun run involves a risk of injury, including bodily injury, and assume the risk for same. On my own behalf and on behalf of my heirs and legal representatives and to the fullest extent permitted by law. I hereby release and discharge Trick or Trot 5K and Fun Run and all representatives of this event from any and all liability for injury, death or damages and/or any claims, demands, losses or damages incurred by me in connection with any aspect of the Trick or Trot 5K and Fun Run.
Signature/ Parent or Guardian Signature and Date