Fields marked with an * are required
I am aware that I should not enter and participate in this event unless I am medically able and properly trained and have sufficient stamina to safely and successfully complete this event without harm or injury to myself. In consideration of the acceptance of my entry, my heirs, executors, administrators and assigns waive, release and discharge any and all rights and claims for damage against the race directors and all race officials, Mindemoya Classic, the Municipality wherein the event takes place and all participating sponsors and supporters for all claims of damages, demands, action, whatsoever in any manner arising or resulting from my participation. I grant permission to all the foregoing the use of any photographs, or any other record of this event for any legitimate purpose. I also understand that the entry fee is nonrefundable. I have read the entry form provided and certify my compliance by my submission of this entry.