.05k Beer Run Runner's Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Runner's Age*T-Shirt Size*SmallMediumLargeXL2XL3XLAgreementTermsIn consideration of participating in the Gun Lake Business Association Gun Lake Winterfest 2018 ACTIVITIES (Chili Cook-off, Little Miss Gun Lake, Euchre, Polar Bear Dip, .05K Beer Run, Gun Lake Fun Run), I represent that I understand the nature of these ACTIVITIES and that I and/or my minor child am qualified, in good health, and in proper physical condition to participate in such ACTIVITIES. I acknowledge that if I and/or my minor child believe event conditions are unsafe, I and/or my minor child will immediately discontinue participation in the ACTIVITIES. I fully understand that these ACTIVITIES involve risks of serious bodily injury, including permanent disability, paralysis and death, which may be cased by my own action, or inactions, those of other participating in the event, the conditions in which the event takes place, or the negligence of the "RELEASEES" named above; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I and/or my minor child incur as a result of my and/or my minor child's participation in these ACTIVITIES. I hereby release, discharge, and covenant not to sue the Gun Lake Business Association or the Gun Lake Winterfest, their respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the ACTIVITIES take place, (each considered one of the "RELEASEES" herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the "RELEASEES" or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my and/or my minor child's behalf, makes a claim against any of the risk I, or anyone on my and/or my minor child's behalf, makes a claim against any of the RELEASEES, I will indemnify, save, and hold harmless each of the RELEASEES from any loss, liability, damage, or cost which any may incur as the result of such a claim. I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, AND PARENTAL CONSENT AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance notwithstanding, shall continue in full force and effect. I hereby authorize the Gun Lake Business Association and the Gun Lake Winterfest to use my name, likeness, statements and other identifying information worldwide, in perpetuity, including in the photographs, video and recordings for the purposes of publicizing and promoting The Gun Lake Winterfest activities, and to raise funds for the Gun Lake Business Association and the Gun Lake Winterfest. This authorization includes use in any media, including, but not limited to, print and on the internet. I understand that I will not be compensated for such use and that the Gun Lake Business Association and the Gun Lake Winterfest is not obligated to use my name, likeness or statements or other identifying information. I Agree Total $0.00 A PayPal account is not required to proceed with payment. You can opt to complete the transaction with a credit card on the next screen.