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Race Registration Form

Will you be buying a T-Shirt?

Please select T-Shirt Size

Will you be purchasing Lunch?

Lunch Options

What is your competitive level?

By checking the box below, Participant acknowledges, agrees, and consents to all of the following: (A) Physical exercise and training can be a hazardous activity and, despite taking reasonable precautions, there are inherent risks, including but not limited to serious injury, permanent disability, disease (e.g., COVID-19), or in rare cases, even death. Furthermore, such risk may be due to not only your own actions, but also the action, inaction or negligence of others, the conditions of the premises, or of any of the equipment used. (B) By participating in physical exercise, you do so entirely at your own risk and you accept sole responsibility for any and all injury or damage to you as well as any and all other illness, damage, loss, claims, liabilities or expenses of any kind that you may suffer in any way arising out of or in connection with this event. (C) You understand that this statement agreed to by you will be used to defend any claim you may try to bring against Appalachian Regional Healthcare System, Inc. or any of its employees, affiliates, or agents.

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