Register For
Belmar Five Mile Run

Belmar, NJ 07719

Registrant #1

Who are you registering? *


By selecting this box, you are indicating that you are the parent/guardian of the person you are about to register. Additionally, if the child is under the age of 13, you are consenting to the collection and use of the information about the child for the purpose of the registration as described in our privacy policy.

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Basic Info

To be able to access / edit your registration.

Additional Information

Format: mm/dd/yyyy
Used for age group calculations
Format: ###-###-####

Address

Choose Your Event *

Saturday September 3, 2022

$35.00 + $3.00 SignUp Fee

Saturday September 3, 2022

$35.00 + $3.00 SignUp Fee

Friday September 2, 2022
Open to ages 12 and under.

$13.00 + $2.50 SignUp Fee

Would you like to join or create a Team?


Waiver

In consideration of accepting this entry, I, the participant, intending to be legally bound and hereby waive or release the Goodwill Hose Company, Jersey Shore Running Club, the Borough's of Belmar, Spring Lake and Lake Como,  the Belmar Five, the Event Director, RunSignUp.com, and all of their officers and agents assisting with the event, all sponsors, their representatives and successors, including the Road Runners Club of America, its officers, directors, agents and employees from all claims or liabilities of any kind arising from my participation in this event even though liability may arise out of negligence or carelessness on the part of the persons named in this waiver. This release includes all injuries and/or damages suffered by me or my personal property before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.

I know that participation in a road race is a potentially hazardous activity. I should not enter and participate unless I am medically able to do so and properly trained. I agree that my participation is completely voluntary and I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typically found in participation in a road race. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any race official relative to my ability to safely complete the Event. I certify as a material condition to my being permitted to enter this Event that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.

I further acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participating in this Event. I acknowledge that such exposure or infection may result in personal injury, illness, permanent disability, and/or death.  I agree not to participate in this Event if I have experienced symptoms of COVID-19 or been exposed to someone with a suspected and/or confirmed case of COVID-19 in the past 14 days of this Event.  I voluntarily seek to participate in this Event and I am following all CDC guidelines as much as possible and limiting any exposure to COVID-19. 

In the event of an illness, injury or medical emergency arising during this event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver.

Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes. I understand that the events will be held rain or shine and no refunds will be issued.

 




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