5K & Fun Run Registration

Ascent CU Foundation 5K & Fun Run

September 21st, 2024 at 9AM at the Main Branch
Allowed:
- Strollers
- Scooters (Fun Run Only)
- Elf Costumes
Not Allowed:
- Pets (including dogs)
- Skateboards
- Scooters (Fun Run Only)
- Clothing with profane language
- Smoking or Vaping
- Alcohol
5K & Fun Run, Family or Individual (please select one)

5K Individual (includes T-shirt, swag bag, and Race Plate) $25.005K Family - Up to 5 (includes T-Shirts, swag bags and race plates) $100.00Fun Run Individual (includes t-shirt, swag bag & race plate) $10.00Fun Run Family - Up to 6 participants (includes t-shirt swag bag & race plate) $50.00
Main Participant Name*

First NameLast Name
Date of Birth*
MM/DD/YY
Phone Number*
Email*
example@example.com
May we text this number ?*

YesNo
Shirt Size *
50/50 Blend, Men's Sizes
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about the 5K?
Family Participants

Please list each participant, include shirt size if doing the 5K.
2nd Family Participant
Date of Birth
MM/DD/YY
Shirt Size
3rd Family Participant
Date of Birth
MM/DD/YY
Shirt Size
4th Family Participant
Date of Birth
MM/DD/YY
Shirt Size
5th Family Participant
Date of Birth
MM/DD/YY
Shirt Size
Activity Waiver Form

Each Participant must read, agree to and sign the waiver below.
Activity Waiver Form

IN CONSIDERATION of being allowed to participate in the Activity and other good and valuable consideration, the receipt of which is hereby acknowledged, I, the "Participant", agree with Ascent Credit Union Foundation of 4140 Harrison Blvd, Ogden, UT 84403, USA (the "Activity Provider") to the following:

DETAILS OF ACTIVITY

Scheduled for September 21st, 2024, the Participant will be participating in the following activity: 5K & Fun Run (the "Activity") provided by the Activity Provider.

CONSIDERATION

Being of lawful age and in consideration of being permitted to participate in the Activity, the Participant releases and forever discharges the Activity Provider, its owners, directors, officers, employees, agents, assigns, legal representatives, and successors from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims, and demands for or by reason of any injury to person or property, including injury resulting in the death of the Participant, which has been or may be sustained as a consequence of the Participant's participation in the Activity, and not withstanding that such damage, loss, or injury may have been caused solely or partly by the negligence of the Activity Provider.

The Participant understands that the Participant would not be permitted to participate in the Activity unless the Participant signed this Waiver.

CONCURRENT RELEASE

The Participant acknowledges that this Waiver is given with the express intention of effecting the extinguishment of certain obligations owed to the Participant by the Activity Provider, and with the intention of binding the Participant's spouse, heirs, executors, administrators, legal representatives, and assigns.

FITNESS TO PARTICIPATE

The Participant acknowledges to the Activity Provider that the Participant does not have any physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent the Participant from participating in the Activity. If required, the Participant will obtain a medical examination and clearance.

FULL AND FINAL SETTLEMENT

The Participant acknowledges and agrees with the Activity Provider that: (1) the Activity Provider has given the Participant sufficient time to carefully read this Waiver, (2) the Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Waiver, (3) the Participant fully understands the risks and claims that the Participant is waiving to participate in the Activity, (4) the Participant is freely and voluntarily executing this Waiver, and (5) the Participant is forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the Activity.

GOVERNING LAW

This Waiver will be governed by and construed in accordance with the laws of the State of Utah.
IN CONSIDERATION of being allowed to participate in the Activity and other good and valuable consideration, the receipt of which is hereby acknowledged, I, the "participant", agree with Ascent Credit Union Foundation at 4140 Harrison Blvd. Ogden Utah 84403, to the details of this activity waiver.
IN WITNESS WHEREOF the Participant has duly affixed their signature on
Date*   By,

Signature*   Main Participant
Signature   2nd Participant
Signature  3rd Participant
Signature   4th Participant
Signature   5th Participant
After you have completed the form, click SUBMIT and PAY below. You will be redirected to our easy payment site (Stripe).

You will receive a confirmation email as soon as the payment is submitted

Please select one to pay*

5K Individual$25.00

Includes T-Shirt, swag bag, race plate

5K Family (up to 5 participants)$100.00

Includes T-shirt, swag bag and race plate for each individual

Fun Run Individual $10.00

Includes swag bag

Fun Run Family (up to 6 participants)$50.00

Includes swag bag for each participant

Enter coupon

Total $0.00

Should be Empty:

Ascent CU Foundation 5K & Fun Run

Family Participants

Activity Waiver Form