Please complete the registration form below to be considered as a volunteer for this event.
You will receive a confirmation email if you are assigned as a volunteer.
Please enter your information into the fields below.
Required fields are marked with *.
*Are you a member of Indy Runners?
*Are you registered to run one of the Sam Costa Races? If so, which?
*Are you willing to work more than one job? (i.e. registration and finish line)
*Please list choices, separated by commas (e.g. This, That, etc.) Please DO NOT register a second time. Multiple assignments can be created with just one entry.
Special considerations for work assignment (i.e. need to be indoors, or part of a particular group)?
Where have you been assigned previously?
*Are you a student at a local school? If so, what school are you representing?
Are you wishing to receive credit for volunteer hours? If so, please specify the organization. We will be happy to sign your paperwork.
Alternate Job Preferences
WAIVER, RELEASE, AND CONSENT
I wish to volunteer for the Sam Costa Half Marathon/Quarter Marathon. I understand that the nature of the activities I may perform in my capacity as a volunteer may involve physical activity, contact with unidentified and/or unfamiliar persons, the effects of weather, including but not limited to, heat, humidity, rain and/or lightning, conditions of the road and traffic on the course, including but not limited to, icy and slick roads and sidewalks, automobiles, bicycles and other vehicles, or other potential risk of bodily injury or damage to property. I am medically able to volunteer. I assume all risks associated with volunteering and otherwise participating in the Sam Costa Half/Quarter Marathon. I agree to independently consult with my physician in the event of any injuries or medical questions arising from my volunteering in the Sam Costa Half/Quarter Marathon and I am responsible for my own medical expenses. In consideration of being allowed to volunteer, I waive, release, and hold harmless Indy Runners, Inc. and all of its officers, directors, members, volunteers and sponsors, the Road Runners Club of America, Northview Church, City of Carmel, the City of Noblesville, the County of Hamilton, the State of Indiana, the successors of each organization and the heirs, assigns and personal representatives of each individual and his or her estate, from all claims of any kind for liabilities of any kind arising from my volunteering or otherwise participation in these activities, even though that liability may arise out of negligence or carelessness on the part of persons named in this waiver. I consent and grant my permission to Indy Runners, Inc., to use, without compensation, my image or likeness in print and digital media which promotes the club. I understand and agree that this Waiver, Release, and Consent is binding upon my heirs, assigns, and legal representatives.
Please Sign Below
Your electronic signature is the online equivalent of your ink-on-paper signature,
and can be provided by typing your name where indicated.
The electronic signature will signify your understanding, acceptance, and authorization
to accept the conditions of this legal document, including the following statements:
- I have read, have understood, and do accept the agreement above.
- I understand that this is a legal document with effects that I approve and authorize.
- The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
- I am authorized to agree to the terms of this document on behalf of the registrant.
- If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.
You are encouraged to keep a copy of this agreement for your records.
This agreement was generated at 12:50:06 PM EST on 1/23/2018.
Click here to print the agreement.