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Greater Philadelphia 5k Montgomery County Community College


Join Your Company Team and Experience Corporate FunRun!

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COMPANY INFORMATION

PQ Corporation

Personal Information

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  • Male Female
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  • Medical Waiver for Team Members

  • I know that running a road race is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the race and agree to abide by them. I assume all risks associated with running in this event, including but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players are not allowed in the race and I will abide by all race rules. Having read this waiver and knowing these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release Corporate FunRun Inc., its shareholders, principals and agents, the Road Runners Club of America, all event sponsors & charities, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons/entities named in this waiver. I understand that there are no race day entries and no refunds nor substitutions. I grant permission to all of the foregoing to use my image(s) in any photographs, motion pictures, videos, recordings or my statements/quotes, my voice, my name or any other record of this event for any legitimate purpose.
  • I agree I do not agree
    (You need to Agree with the waiver)