COMPETITION/ROAD RACE REGISTRATION FORM

3 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 FITNESS
I acknowledge that competing in the Road Race is a potentially hazardous activity, which
could result in injury or death. I acknowledge that I am participating in the activity outlined by this
event by my own free will and at my own personal risk. I will not participate in this vent unless I
am medically able and properly trained. By my signature, I certify that I am medically able to
perform this event, and am in good health, and I am properly trained. I further agree to abide by
the Center for Disease Control’s recommendations for the prevention of the spread of
COVID-19 and attest to having read the CDC’s guidance at:
https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html
I agree to abide by any decision of a race official relative to any aspect of my participation in this
event, including the right of any official to deny or suspend my participation for any reason
whatsoever. I attest that I having read the rules and the terms in this waiver and assume all risks
to me associated with running as part of this event, including but not limited to: falls, contact with
other competitors, the effects of the weather, including high heat and/or humidity, the conditions
of the trail, all such risks being known or unknown.
Having read this waiver and knowing these facts and in consideration of your accepting my
entry, I, for myself and anyone entitled to act on my behalf, waive and release The  VITFF
Road Race, event partners, volunteers, and the Road Runners Club of America, all event
sponsors, their representatives and successors from all claims or liabilities of any kind arising
out of my participation in this event, and waive my ability to bring any legal action against the
entities outlined in this waiver. I grant permission to all of the foregoing to use my photographs
which I may share online as part of the event, personal data provided during registration and
post-event reporting, video or audio recordings, or any other record of this event for any
legitimate purpose. I am an adult 18 years of age or older…I sign for myself or a minor with this
registration

DISCLAIMER

• 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.