WAIVER & RELEASE *
In consideration of this entry being accepted. I hereby for myself, heirs, executors and administrators, do waive and release any claims I may have against The Steeplechase Cancer Center, any and all sponsors of The Steeplechase Distance Run events, On Your Mark Productions, the Township of Hillsborough, Hillsborough Board of Education, Steps Together and the County of Somerset and their respective staffs, officers, volunteers, successors and assigns, for any injuries that may be suffered by me during my participation in this event. Further, I affirm and attest that I am personally able to participate in this event, and I grant the right to use my likeness in any photographic record of The Steeplechase Distance Run events and publicity.
I acknowledge that I am fully aware that part of my payment covers the registration fee for my participation in The Steeplechase Distance Run. The remainder of my payment will be paid in full to the beneficiary or beneficiaries that I have selected to participate on behalf of.