Reach Out & Run 5K/10K - Sign Up Online

Instructions

Please complete the form on the right to sign up for the Reach Out & Run 5K/10K.

There is a registration fee of $25 per person or $20 per person for groups of 4 or more. Registrations received by January 31, 2015 qualify for the early bird special and will receive the discounted rate of $20.

After you complete the Registration form, you'll be sent to PayPal's website where you can pay the fee with your PayPal account or a Credit or Debit card.

Waiver and Release
Reach Out and Run 5K/10K Family Walk/Run, presented by the Junior League of Fort Smith (hereinafter "Events") WAIVER--REQUIRED (If UNDER 18 years of age your Parent or Legal Guardian must also read and agree to this Waiver and Release). I have read the Reach Out and Run 5K Family Walk/Run entry form completely and understand the policies of the Events. I agree to be legally bound by the terms of this Waiver and Release. I know that participating in the Events is a potentially hazardous activity that may result in injury or death to me, injury or death to others or damage to my property from known and unknown or unanticipated risks. I am fully aware that I should not participate in the Events unless I am emotionally, medically and physically able to do so, and it is my sole responsibility to determine if I am emotionally, medically and physically able to participate in the Events. I understand the nature of the Events and I ASSUME ALL RISKS associated with my voluntary participation in the Events including, but not limited to, falls, injuries, contact with other participants, contact with wheelchairs or guide animals, the effects of the weather, including extreme temperatures and precipitation, vehicular traffic, pedestrian traffic, contact with or interaction with Event observers, attendees or news media. Knowing these facts, I, for myself, heirs, executors, administrators or anyone else who might make a claim on my behalf, COVENANT NOT TO SUE, WAIVE ALL CLAIMS AGAINST, AND FULLY RELEASE AND DISCHARGE the Junior League of Fort Smith, any and all sponsors affiliated with the Reach Out and Run 5K Family Walk/Run, the City of Fort smith, Event participants, officials, workers, volunteers, and any and all officers, directors, employees and other representatives of any of the foregoing, and any successors or assigns of the foregoing (collectively, the “Releasees”) for ANY AND ALL claims or liability, including without limitation the sole or contributory negligence of any or all the Releasees, whether foreseen or unforeseen, for death, personal injury (whether temporary or permanent), mental or emotional injury, invasion of privacy or property damage arising out of, or in the course of, my participation in the Events. I understand and agree that information about me, including information on this form, may be provided to third parties for any legitimate purpose, including commercial marketing purposes. I further grant full permission to the Reach Out and Run 5K Family Walk/Run and the Releasees, and/or agents authorized by them, to use any photographs, video tapes, audio recordings, motion pictures, or other record of the Events which contain my name, picture and/or likeness for any reasonable purpose without any notice or compensation to me.