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Registrations and Fees are not transferable or refundable
Name __________________________________________________, __________________________________________ ________ Sex: M[ ] F[ ]
Last First M.I.
Street ___________________________________ City ___________________________________________ State/Prov ____________________ ZIP/CODE ____________________ Country __________________________ Marathon Run [ ] Marathon Walk [ ] Telephone# Email Address ________________________________________________ Age on Race Day ______ TECH Finisher T-Shirt S[ ] M[ ] L[ ] XL[ ] Hercules Division YES[ ] Athena Division YES[ ] Marathons Completed ______ PR _____:____:____ Pasta Tickets ($7.00/ea) 0[ ] 1[ ] 2[ ] 3[ ] 4[ ] 5[ ] Register on-line at Active.com
WAIVER OF LIABILITY: In consideration of your
accepting this entry, I, the undersigned, intending to be legally bound hereby, for myself, my family, my heirs, executors,
and administrators, forever waive, release and discharge any and all rights and claims for damages and causes of suit or
action, known or unknown, that I may have against the Newport Marathon, The Newport Booster Club, The City of Newport,
Lincoln County, Oregon State Parks and Recreation Department, any and all political entities, Oregon Coast Bank, all
independent contractors and construction firms working on or near the race course, any and all business and residential
owners located on the race course, all persons working with or associated with the Newport Marathon including but not limited
to all committee persons, organizers, race directors and volunteers and sponsors of the Marathon and any related Marathon
events and their officers, directors, employees, agents and representatives, successors, and assigns for any and all injuries
suffered by me in this event. I attest that I am physically fit, am aware of the dangers and precautions that must be taken
when running in warm or cold, wet or dry conditions and have sufficiently trained for the completion of this event. I also
agree to abide by any decision of an appointed medical official relative to my ability to safely continue or complete the
Run/Walk. I further assume and will pay my own medical expenses in the event of an accident, illness, or other incapacity
regardless of whether I have authorized such expense. Further I hereby grant full permission to the Newport Marathon and or
agents authorized by them to use any photographs, videotapes, motion pictures, recording or any other record of this event
for any legitimate purpose at any time. |
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