River Run 2024 Registration and Waiver

E-mail*

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mobile Number

Area CodePhone Number

If signing for a youth (under 18) please enter their name(s) here:

First NameLast Name

Youth #2

First NameLast Name

Youth #3

First NameLast Name

Youth #4

First NameLast Name

I know that running or walking this event is a potentially hazardous activity, which could cause injury or death.

I will not enter and participate unless I am medically able, and by my signature, I certify that I am medically able to perform this event, and am in good health.

I attest that I have read the rules of the race and agree to abide by them.

I assume all risks associated with running in this event, including but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic, getting lost and the conditions of the road all such risks being known and appreciated by me.

Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Petaluma River Run, MAD architecture inc, the City of Petaluma, Aqus Community Foundation, Petaluma River Park, Friends of the Petaluma River, Aqus Cafe, Cool Petaluma, all event sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose.

Today's date:*

MonthDayYear

Acknowledgement*

Yes, I acknowledge and accept all the terms outlined in this waiver.

My company/organization might want to be a sponsor. Please contact me with details*

YesNo

Please add my email the "Petaluma Calendar" email distribution list*

Yes, send me the Petaluma events calendar each week.No

Please add my email the Friend of the Petaluma River email distribution list*

Yes, please. (You can always unsubscribe later)No

Please add my email the Petaluma River Park email distribution list*

Yes, please. (You can always unsubscribe later)No

Would you like to volunteer on the day to be on the River Run Crew?*

Yes, please contact me.No

How will you be traveling to the event?

We do not charge any entry fee for this event. However, in order to keep these events happening, we ask for a donation ($20) but do not want this to be a hurdle in any way. Please donate what you feel appropriate and what you can afford. Add $5 or $10 for each under 18 kid with you. DONATIONS THAT ARE MADE ABOVE THE COST OF THE EVENT WILL BE DONATED TO BOTH THE PETALUMA RIVER PARK FOUNDATION AND THE FRIENDS OF THE PETALUMA RIVER, TWO ORGANIZATIONS DOING GREAT WORK FOR THE RIVER AND OUR COMMUNITY*

Yes, I understand

Donation amount

USDEnter $ amount

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Donated Amount

Signature - use your mouse to sign in the box - OR if you're on an iPad simply use your finger or a stylus*

Petaluma River Run 2024 Registration and Waiver

THANK YOU