Cross Country Invitational

Registration

Please complete this form for each registrant.

First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone Number:
EMail:
Age:
Grade:
Gender:

Payment

The cost to register for this event is $10.

Payment Method:

Event Disclaimer

I agree that by participating in this physical activity (the “Event”) or use any Event facility/premises, I do so at my own risk. I assume all risk of injury, illness, damage or loss to me or my property that might result, including without limitation, any loss or theft of personal property. I consent to medical treatment in the event of injury, accident and/or illness during the Event. I agree on behalf of myself (and my personal representatives, heirs, executors, administrators, agents and assigns) to release and discharge Polaris Christian Academy and all other event sponsors, associates and volunteers from any and all claims or causes of action (known or unknown) arising out of their negligence. I acknowledge that I have carefully read this Waiver and Release and fully understand that it is a release of liability. By checking below, I am waiving any right I may have to bring legal action to assert a claim against any and all Event sponsors and representatives for their negligence.

Check here if you have read the disclaimer and agree to its terms.