Registrant Information

GenderGender is a required field.
Which event will you participate in?This information is required.

If you are not participating, but would like to make a donation, please use our donation form.

Waiver and Release

In consideration of being permitted to participate in the Ted Moore Memorial Run/Walk Event (whether participating in person on April 30, or virtually in a time and location of my choosing) , I hereby for myself, my heirs, and my personal representatives assume any and all risks associated with this event. I further waive, release, discharge, and covenant not to sue Mohawk Valley Community College, the MVCC Foundation, its employees, sponsors, organizers, volunteers or other representatives or agents or their successors and assigns for any and all injuries or damages of any kind whatsoever suffered as a result of me and/or my child taking part in the event and any related activities. I also agree to the use of any photo, film, or videotape of the event for any purpose. I also give my full permission for such first aid as deemed necessary to be provided to me or my child on the premises or prior to transport to a hospital for further treatment.

TO PARENT/GUARDIAN OF APPLICANT UNDER 18 YEARS OF AGE: I have read the foregoing and agree to its terms as they pertain to the minor applicant, and further agree to waive, release and hold harmless the persons and entities named above from all rights, claims and liabilities as above, and for loss of services, which I may be entitled to enforce on behalf of the minor applicant or derivatively.

You must be over 18 years of age OR the parent/legal guardian of a minor under 18 years of age in order to agree to the waiver and release.

Donation Information

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