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Barn Burner Registration - Cheyenne

Please fill out this form for each runner.

Contact Information

First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country


Age Group
Age Group
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In consideration of the acceptance of my entry in the Barn Burner 5K run/walk or Lil’ Buckaroo Stick Horse Race, I, the undersigned participant, hereby agree and make the following contractual representations and agreements. I fully realize the dangers in participating in a long-distance group run (including, by way of example and not limitation, exhaustion, physical exertion, injured muscles, the dangers of collision with vehicles and other runners, the dangers arising from surface hazards, and weather conditions) and I fully assume all risks associated with such participation. I hereby waive, release, and discharge myself, my family members, heirs, administrators, personal representatives, successors and assigns, any and all rights and claims which I have or which may hereafter accrue to me against the sponsors/co-sponsors of the Barn Burner 5K run/walk or Lil’ Buckaroo Stick Horse Race, Wyoming Agriculture in the Classroom and the Archer Events Center, its officers, employees, volunteers, and participants for any and all damages which may be sustained by me directly or indirectly arising out of my participation in the Barn Burner 5K run/walk or Lil’ Buckaroo Stick Horse Race. Further, I will hold Wyoming Agriculture in the Classroom (WAIC) and the Archer Events Center (AEC) harmless from any and all liabilities and provide for the defense of WAIC and or AEC in the event WAIC or AEC is sued as a result of my alleged negligence. I attest that my physical condition is adequate to complete the run safely and I am prepared for this event. I hereby acknowledge that the above persons and entities have no obligation to provide medical care and have not undertaken the responsibility to do so. In the event I receive medical care as a result of a medical emergency, I hereby consent to such care. I grant full permission for sponsors, WAIC or AEC to use photographs of me and quotations from me in legitimate accounts and promotions of this event. I hereby certify that I fully read and understand the foregoing legal document and sign it knowingly, willingly, and voluntarily.
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