5K Application 5K Application Step 1 of 2 50% Select Option*5K Run5K Wheelchair5K WalkRegistration*MyselfFriendMinorWho are you registering?Name* First Last Email* Age*Birthday Date Format: MM slash DD slash YYYY Gender*MaleFemaleAdult T-Shirt Size*SmallMediumLargeXL2XLWe will have extra T-Shirts and other listed items available while supplies last. No guarantee of T-Shirt in your size after July 1, 2019. Address* Street Address City State / Province / Region ZIP / Postal Code Consent* By checking this box, I agree to this Release and Liability WaiverRelease and Liability Waiver I ACKNOWLEDGE AND ASSUMPTION OF RISK AND FULL RELEASE FROM LIABILITY OF Suwanee Health and Fitness Festival. I acknowledge that the Suwanee Health and Fitness Festival 5K Run/Walk/Wheelchair event includes participation in strenuous physical activities. I acknowledge these Physical Activities involves inherent risk of physical injuries or other damages, including but not limited to heart attacks, muscle strains, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back, foot injuries and other illness, soreness, or injury however caused, occurring during or after the negligence of an instructor or other persons, defective, over exertion, slip and fall, or an unknown health problems. I agree to assume all risk and responsibility involved with participation in the Suwanee Health and Fitness Festival 5K Run/Walk/Wheehchair I affirms I am in good physical condition and does not suffer from any disability that would prevent or limit participation in the Physical Activities. I acknowledge that participation will be physically and mentally challenging, and I agree that it is my responsibility to seek competent medical or other professional advice. Regarding any concerns involved with the ability of to take part in Suwanee Health and Fitness Festival 5K Run/Walk/Wheehchair associated contracted trainers and staff Physical Activities. By submitting this form, I assert that I am capable of participating in the physical activities. I agree to assume all risk of and responsibility for not exceeding my own physical limits. On behalf of my heirs, assignment and next of kin, I agree to full release Suwanee Health and Fitness Festival (as well as any of its owners, employees, or other authorized agents, including Independent Contractors) from any and all liability, claims and/or litigation actions that I may have for injuries, disability or death or other damages of any kind, including but not limited to punitive damages, arising out of participation in Suwanee Health and Fitness Festival 5K Run/Walk/Wheehchair activities, even if caused by the negligence, gross Negligence, intentional acts or omissions and/or any other type of fault of Suwanee Health and Fitness Festival, Its owners, employees or other authorized agents, including independent contractors. I hereby acknowledge that I have reviewed and agree to the above conditions. Any questions that I had concerning these conditions have been answered to my satisfaction. By submitting this entry, I acknowledge that I am the Legal Guardian or Legal Guardianship for minor child/children named above. I have read and agreed to the above waiver without reservation. I permit the use of any photos, videos, films, or slides of myself/him/her taken while participating in Suwanee Health and Fitness Festival activities can be used for, advertising, promotion or other commercial purpose. Activity Fee Price: $25.00 Credit Card Card Number Expiry (MM/YY) Card Code Card Postal Code CommentsThis field is for validation purposes and should be left unchanged.