Registration Form 3 Kings Day Races Race Event Registration Form3 Kings Day Children’s 1/2 Mile and Adult Mile 800m Children’s Race Friday Jan. 5, 2024 1 Mile 3 Kings Day Race Saturday Jan 6, 2024 Start Time for each race: 10 am — $5-Per person Results: vitrackandfield.com RELEASE—WAIVER—STATEMENT OF FITNESSI acknowledge that competing in the Road Race is a potentially hazardous activity, whichcould result in injury or death. I acknowledge that I am participating in the activity outlined by thisevent by my own free will and at my own personal risk. I will not participate in this vent unless Iam medically able and properly trained. By my signature, I certify that I am medically able toperform this event, and am in good health, and I am properly trained. I further agree to abide bythe Center for Disease Control’s recommendations for the prevention of the spread ofCOVID-19 and attest to having read the CDC’s guidance at:https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.htmlI agree to abide by any decision of a race official relative to any aspect of my participation in thisevent, including the right of any official to deny or suspend my participation for any reasonwhatsoever. I attest that I having read the rules and the terms in this waiver and assume all risksto me associated with running as part of this event, including but not limited to: falls, contact withother competitors, the effects of the weather, including high heat and/or humidity, the conditionsof the trail, all such risks being known or unknown.Having read this waiver and knowing these facts and in consideration of your accepting myentry, I, for myself and anyone entitled to act on my behalf, waive and release The VITFFRoad Race, event partners, volunteers, and the Road Runners Club of America, all eventsponsors, their representatives and successors from all claims or liabilities of any kind arisingout of my participation in this event, and waive my ability to bring any legal action against theentities outlined in this waiver. I grant permission to all of the foregoing to use my photographswhich I may share online as part of the event, personal data provided during registration andpost-event reporting, video or audio recordings, or any other record of this event for anylegitimate purpose. I am an adult 18 years of age or older…I sign for myself or a minor with thisregistrationFirst NameLast NameEmailDate of BirthGenderAddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePhone/MobileDISCLAIMER I am fully aware of the actual and potential risks in participation in this event I declare that I will not compete in the race unless I am medically fit on the day of the race and that, in any case, I will compete at my own risk. To the extent permitted by law, I accept that the organizers and sponsors of the race, or any of their agents, will not be liable for any loss, damage, action, claim, costs or expenses, which may arise in consequence of my participation of the event. Nothing in these terms of use shall exclude or limit the liability of the organizers or their agents for death or personal injury due to its negligence or for its fraud I grant my permission to VITFF and its sponsors, assigns and licenses to use or authorize others to use photographs, motion pictures, recordings, data or any other record of my participation in this event for any legitimate purpose without remuneration I have read and understand the above I, enter name below, do solemnly swear or affirm that the above information is correct.Digital SignatureDigital Signature Of Parent/Guardian if Under 18Date Date I consent to have this website store my submitted information so that I can be registered for this competition with the Virgin Islands track and Field Federation.VITFF Race Registration Payment. 1/2 Mile Children’s Race $5.00 – 13 and younger3 Kings Day 1 Mile Race $5.00 – 14 and olderPay with Debit or Credit CardNo payment items has been selected yetSubmit Form