Clone of 5K Toy Fun Run Safety & Pre-Registration

5K Toy Fun Run Safety & Pre-Registration

Hosting For: Stewart County Children's Christmas Program Location: Stewart Community Park Date: Saturday November 14th, 2026 *Event Schedule: - 9:00 AM: First Heat (Runners & Joggers Only) - 10:00 AM: Second Heat (Speed Walkers & Walkers) Purpose: Proceeds from this event will support the Stewart County Children's Christmas Program
Participant Information
Full Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Acknowledgment and Signatures

Event Safety & Liability Waiver By participating in the 5K Run, I acknowledge and agree to the following: • Participation in this event is completely voluntary. • I understand that running/walking in this event involves inherent risks, including but not limited to falls, contact with other participants, weather-related conditions, and physical exertion. • I certify that I am physically able to participate in this event and have not been advised otherwise by a qualified medical professional. • I agree to follow all rules, instructions, and safety guidelines provided by event organizers and volunteers. Assumption of Risk I knowingly and freely assume all risks, both known and unknown, associated with my participation in this event. Release of Liability In consideration of being allowed to participate in the 5K Color Run, I hereby release, waive, and discharge Walnut Grove Baptist Church, event organizers, sponsors, volunteers, and any affiliated parties from any and all liability for injuries, damages, or losses that may occur before, during, or after the event. I agree that no individual or organization associated with this event shall be held liable for any injury, illness, damage, or loss of personal property. Medical Consent In the event of an emergency, I authorize event staff or volunteers to obtain medical treatment on my behalf if I am unable to do so, and I accept full responsibility for any costs incurred. Photo Release I grant permission for event organizers to use photographs or videos taken during the event for promotional purposes without compensation.
I have read and fully understand the safety information and liability waiver above. I acknowledge that I am participating at my own risk and that all participation is voluntary.
Participant Acknowledgment
Participant Signature
Participant Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent or Guardian Consent
Parent/Guardian Name

First NameMiddle NameLast Name
I, the undersigned parent or legal guardian, give permission for the above-named participant to take part in the 5K Color Run. I agree to all terms stated in this waiver on their behalf.
Parent/Guardian Consent Agreement
Parent/Guardian Signature
Parent/Guardian Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Event Preferences
Preferred Participation Type
Participation Time
Times may change due to weather and increased participation.
How did you hear about this event?
Pricing
Thank you for supporting this cause and helping make this event safe and enjoyable for everyone!

*Time subject to change due to weather and may add another time slot due to increased participation.
Payments may be made conveniently through Venmo. Please send your payment to @WGBC-Outreach. In the payment description, include your name so we can match your payment with your registration form.
If you have any questions or would like to pay in person, please let me know.
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5K Toy Fun Run Safety & Pre-Registration

Participant Information

Acknowledgment and Signatures

Parent or Guardian Consent

Event Preferences