Southborough's 12th Annual Gobble Wobble
Wed Nov 22, 2017
(text to be included at the top of the paper application)Note: Lines 1-4 are mandatory. You cannot be entered into the race if they are not complete and legible.
|3||Gender||MALE FEMALE (please circle one)|
|4||Age||(your age on race day)|
|Adult SmallAdult MediumAdult LargeAdult X-Large|
Adult 2XLYouth SmallYouth Medium - short sleeveYouth Large - short sleeve
Youth X-Large - short sleeveYouth xs-short sleeve
Parent Signature (if under 18) ______________________________________ Date ____________________
My signature is in agreement to the following Waiver:
In consideration of this entry being accepted, I, for my heirs, executors, assigns, personal representatives, and administrators, waive and release any and all claims for personal injury and damages I may have against the organizers, City of Southborough, sponsors of this race, and volunteers. USATF, USATF New England and all of its officers and/or representatives shall be free from any liabilities or claims for damages arising by reason of injuries to anyone during the conduct of this event.
I attest and verify that I am physically fit and have sufficiently trained for this event. I freely and voluntarily accept responsibility for all risks including death, personal damages and injury, and personal property damage and loss that may occur prior to, during, and after this event. I voluntarily participate in this event in recognition of—and in spite of—all associated risks with running this event, including, but not limited to, falls, contact with other participants, the effects of weather, including cold, heat, and rain or snow; traffic and surface road conditions and human error by volunteers or race officials.
Moreover, I understand that the Southborough Gobble Wobble and those authorized by the race will be taking photographs, and making audio and video recordings of the participants, races and related events. I hereby irrevocably consent to, and grant use of, all photographs and recordings, digital and otherwise that contain my person, image, likeness, or name and voice, for any lawful purpose including news reports and event promotions.