PLEASE FILL OUT ALL FIELDS WITH MOST RECENT INFORMATION
Please choose up to three events
10 A.M. Start
Check-In at 6 P.M., Starts at 7 P.M.
Check-In at 10 A.M., 11 A.M. Start
8 A.M. Start
10 A.M. - 3 P.M.
In consideration of my entry being accepted into the Philadelphia Games for Adults 50+, I, on behalf of my heirs, executors, administrators, and assignees release, indemnify, and hold harmless the City of Philadelphia, and the Philadelphia Games for Adults 50+ sponsors and co-sponsors from any and all injuries suffered by me as a result of my participation in the Philadelphia Games for Adults 50+.
To the best of my knowledge, information and belief, I have no physical restrictions that would prohibit me from participating in the events that I have selected. I hereby authorize, at my expense, any first aid or medical treatment deemed necessary for my health, welfare and safety.
I certify that I have sufficiently trained for each event that I have selected, and my good physical condition has been verified by a licensed physician in the past six months. I give permission for my photograph to be used by thePhiladelphia Games for Adults 50+ for advertising, promotional efforts, publicity and other legal purposes. I waive all claims for compensation or damages inconnection with such use.