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Guardian Information

I agree to the following:
For purposes of this Liability Waiver and Consent Form, the term “Participant” shall mean me (as either a participant in the event or a parent or legal guardian of each minor child list below, or both, as applicable) and each minor child listed below (if any).
In consideration of my application being accepted, I accept any risks of participation in the run and agree to hold harmless Crossover Athletics, Run Hard after school running program, and all sponsors, all officers, directors and members of said organizations, their respective employees, agents and any other individuals who are in any way associated with this event, including volunteers. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event. I also give my permission for the free use of my name and picture in any written account, broadcast, or telecast of this event for any legitimate purpose. I authorize RunHard’s sponsor, SouthernMED Pediatrics, to use my child(ren)’s photograph and/or video on their social media pages and marketing materials. This authorization shall be in force and effect unless revoked by sending such written notification to the practice’s Privacy Officer at 2214 Old Cherokee Road, Lexington, SC 29072.
I understand that if the race is canceled because of circumstances beyond the control of the race committee and sponsors, including, but not limited to hazardous weather condition or government ban, my entry fee will not be refunded.
I understand that participants must meet minimum age/grade requirement (if specified) by the time he/she attends event.
If this registration is for a child under the age of 18, I affirm that I am a parent or legal guardian of such minor child.

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Payment Information