2015 Honored Hero Run Sunday October 18, 2015 Register online @ www.HonoredHeroRun.com o o o o o o Time Pricing before 3/02 5K 8:30AM $25 10K 8:20AM $35 Half Marathon 8:00AM $55 20 Mile 7:30AM $65 1K Family & Kid’s Fun Run 7:40AM FREE Shadow participant ( I don’t want to run, but would like to donate to the charity) Name_________________________________________________________________________ Address_______________________________________________________________________ Email_____________________________ Date of Birth_________ Phone Number__________________________ Age on Race Day______ Male/Female Circle One: Male Female Tech shirt Size_______ (Small, Medium, Large, X-Large, XX-Large) All participants I would like to purchase and additional Tech shirt for $15. Size_______ *Please sign below Entry Invalid if not signed 2015 Honored Hero Run WAIVER STATEMENT: ENTRY INVALID IF NOT SIGNED WAIVER WARNING: READ CAREFULLY. THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE THIS EVENT AND OTHER PARTIES. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY. SEEK THE ADVICE OF LEGAL COUNSEL IF YOU ARE UNSURE OF ITS EFFECT. I, the below signed, know that running a race is a potentially hazardous activity. I therefore warrant that I am over the age of 18 and I will not enter this event unless I am medically able and properly trained. I also know that there will be a possibility of traffic on the course, and I assume the risk of running in traffic. I also assume any and all other risks associated with running this event, including but not limited to falls, contact with other participants, the effects of weather, including high heat and/or humidity, traffic and other conditions of the race, all such risks being known and appreciated by me. To the fullest extent permitted by law, I shall RELEASE, INDEMNIFY, DEFEND and HOLD HARMLESS all event employees, assigns or anyone acting for or on their behalf, from and against and assume responsibility for, any and all connections with, or in relation to my participating in the event, REGARDLESS OF WHETHER OR NOT SUCH CLAIMS OR LIABILITY ARISE OUT OF OR REALTE TO THE NEGLIGENCE (WHEATHER ACTIVE, PASSIVE OR OTHERWISE) OF, OR WAS CAUSED IN PART BY EVENT ORGANIZERS, DIRECTORS, SPONSORS AND VOLUNTEERS, LOCAL AND STATE POLICE, AND ALL MUNICIPALITIES, INCLUDING THEIR AGENTS, EMPLOYEES, MOTION PICTURES, RECORDINGS OR ANY OTHER RECORD OF THIS EVENT FOR ANY PURPOSE Signature______________________________________________________ Date_____________________ If under 18 signature of parent or guardian_______________________________________ Make Checks Payable to: Honored Hero Run Mail to: Honored Hero Run PO Box 101622 Fort Worth, TX 761652 Entry fees are non-refundable and non-transferable. Questions? Email us at [email protected]