Check or Money Order made to: Awesome Events AMOUNT ENCLOSED: $__________________ P.O. Box 282 Mail-in Deadline: August 1, 2015 Mercer, PA 16137 Liability Waiver and Release: I know that running a road race is a potenally hazardous acvity. I should not enter and run unless I am medically able to do so and properly trained. I assume all risks associated with running in this event including, but not limited to: falls, contact with other parcipants, the effects of weather, traffic, and course condions, all such risks being known and understood by me. I am aware that medical support for this event will be provided by volunteer personnel who may be called upon to provide assistance, including First aid, to me during the event. I authorize any such volunteer to assist me or to perform such assistance as, in the opinion of such person may be necessary or appropriate. I understand that Awesome Events., event host site., event sponsors ,and volunteers of this event assume no responsibility or liability with respect to my parcipaon in this event. I agree to abide by the rules of this race as stated in all official race informaon. Having read this waiver and knowing these facts and in consideraon of your accepng my entry, I, for myself and anyone entled to act on my behalf, do hereby release and discharge the owners of Awesome Events, Cools Springs Township, the host property, and all other sponsors, representaves (including event volunteers), and employees of any of them, from all claims or liabilies of any kind arising out of my parcipaon in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. Publicity Release: I hereby grant permission to Awesome Events and its sponsors to use for all legimate purposes, any photographs, moon pictures, recordings or any other record in any form, in which an image or record of me or my voice may be included, which image or record was taken or recorded before, during or aſter, or is otherwise associated with the related events. ______________________________________________ ______________ _________________________________________________ ______________ Parcipant Waiver Signature Date Signature of Parent or Legal Guardian if under 18 Date $15.00 until April 30, 2015 $20.00 until July 15, 2015 $25.00 until August 1, 2015 $30.00 Race Day Registration $25.00 until April 30, 2015 $35.00 until July 15, 2015 $40.00 until August 1, 2015 $45.00 Race Day Registration $5.00 until April 30, 2015 $7.50 until July 15, 2015 $10.00 until August 1, 2015 $12.50 Race Day Registration