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 *.
*Have you volunteered in the past?
If so, what assignment?
Are you planning to participate in the race? Race registration is a separate process and can be done at www.hoosiersoutruncancer.org. 5K start time is 10:00am. Take that into consideration when choosing volunteer shift below.
Anything else you would like to tell the volunteer coordinator?
Alternate Job Preferences
If you are bringing a group of friends or volunteers
but they are not registering through this system,
please advise how many:
I wish to participate in "Hoosiers Outrun Cancer" (Event). I understand by the acceptance of this release of liability and assumption of risk waiver I am executing a legally binding agreement to participate in the Event which includes myself as well as any accompanying child under 18 years of age, any accompanying persons who may be incapacitated, or mentally challenged, registered or unregistered for this event, regardless of whether or not I am the parent/legal guardian (referred to as “Others accompanying me”). I understand the acceptance of the waiver is required to participate in the Event. In consideration of being permitted to participate in the Event, I hereby waive, release, and hold harmless the Cancer Support Community Central Indiana, and Bloomington Health Foundation, their affiliates and their officers, agents, employees, and representatives (collectively, the Cancer Support Community Central Indiana and the Bloomington Health Foundation - “CSCCI/BHF”) from all responsibility or liability for injuries or damages to me, or Others accompanying me, resulting from or arising out of my participation, or the participation of Others Accompanying me, in the Event, including all injuries or damages to me, or Others accompanying me , resulting from or arising out of the negligent act or omission of CSCCI/BHF arising out of or in connection with our participation in the Event. I understand and am aware that running, walking or participating in a road race or activity such as the Event is a potentially hazardous activity involving a risk of injury and even death. The stress and exercise from an event of this nature can cause many types of injuries including cardiac injury and even death from cardiac or other medical emergencies. I knowingly and freely assume all such risks for me and Others accompanying me. Additionally, I understand that there is a risk of injury from the condition of the course and premises where the Event takes place such as pot holes, cracks, bumps and other natural and man-made conditions. I understand these and other potential risks and I and Others accompanying me voluntarily participating in the Event with knowledge of the dangers and risks involved to me or Others accompanying me. I hereby agree to expressly assume and accept all risks of injury or death associated with my participation, or the participation of Others accompanying me, in the Event. I understand that CSCCI/BHF without reason can at any time remove me or Others accompanying me from or not allow me or Others accompanying me to participate in this Event. I understand that the entry fee is non-refundable for any reason including cancellation due to weather. I further give my full permission to CSCCI/BHF to use any photographs, videotapes or other recordings made of me or Others accompanying me on the day of this Event.
I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.
If the participant is under 18 years of age at the time of the Event registration, the participant’s parent or legal guardian must completely review this Waiver and Release. The parent or legal guardian
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 4:31:28 PM EDT on 8/1/2021.
Click here to print the agreement.