WCC-260 Muddy Pumpkin Mud Run 2022

Please fill out the following form to pre-register for

The EDGE's Muddy Pumpkin Mud Run

October 29, 2022 - Dayton

First Name *

Last Name *

Age *

Sex *

Male

Female

Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Emergency Contact *

Emergency Contact Phone *

How did you hear about the event? *

Other *

Is this your first time running in the mud with us? *

Registration:

Regular Registration: $50

College Student Registration (college ID required): $40

Youth Registration:

(ages 6-12): $25

Ages 5 and Under:

Free (will not receive t-shirt or pumpkin)

Large group discounts available

Your packet will include: Event T-shirt, pumpkin and various goods TBD.

Registration * 🛈

Regular Registration: $50

College Student Registration: $40

Youth Registration Ages 6-12: $25

Ages 5 and under: Free (will not receive T-shirt or pumpkin)

T-shirt Size *

(Beginning Oct. 13, we cannot guarantee your shirt size.)

Payment Options *

Pay Online

Pay by check ($0.00)

Current Total:

$0.00

Registration is NOT complete until payment is received.

Please include runner’s name in comment section on payment form.

I recognize and acknowledge that there are certain risks of physical injury to participants in the Muddy Pumpkin Mud Run, and I voluntarily and knowingly agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that I may sustain as a result of said participation, including but not limited to mud stains and eye irritation. I further agree to waive and relinquish all claims I may have (or which may accrue to me) as a result of participating in these activities against The Care Center, including its Board of Directors, Chief Executive Officer, employees and volunteers, the City of Dayton, race officials, agents, volunteers, sponsors, and the owners and operators of the venue (hereinafter collectively referred to as "Administrators").

Participants registering for the race, programs/activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities/programs. I agree that I am solely responsible for determining if I am physically fit and/or skilled for the race or activities contemplated by this Assumption and Release. It is always advisable, especially if the participant is pregnant or disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity. I, for myself and my heirs, do hereby fully release ad forever discharge the Administrators from any and all claims for injuries, including death or incapacity, illnesses, damages, expenses or loss that I may suffer arising out of, connected with, or in any way associated with the race, program or activities including injuries caused or associated with transportation to and from the event.

In addition, I acknowledge the contagious nature of COVID-19 and other communicable diseases and voluntarily assume the risk that I may be exposed to or infected by COVID-19 and/or other communicable diseases by participating in this event. I acknowledge that such exposure or infection may result in personal injury, illness, permanent disability, and/or death. I understand that the risk of becoming exposed to or infected by COVID-19 in connection with my participation in this event and personally assume this risk.

I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. When registering online, my online signature shall substitute for and have the same legal effect as an original form signature. PARTICIPATION WILL BE DENIED if I have not signed this waiver before the start of the event. The Administrators reserve the right to remove me from the event due to noncompliance without reimbursement.

I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purposes. I understand that this event does not provide for refunds in the event of a cancellation, and by signing this waiver, I consent that I am not entitled to a refund if the event is cancelled before or during the event.