Mount Saint Mary's Academy Established 1859

Step 3:  Read and Sign Waiver:
We Cannot accept entries with unsigned waivers.  Entries received with unsigned waivers will not be registered into the race.

I acknowledge that this waiver and release of liability form will be used by the event holders, sponsors and organizers, including Mt. St. Mary Academy, Grass Valley Police Department, in which I may participate and that it will govern my actions and responsibilities of this event.  I certify that I am physically fit, have sufficiently trained for this event, and have not been advised otherwise by a qualified medical physician.  I hereby take action for myself, my executors, administrators, heirs, next of kin, and successors.  I hereby Waive, Release and Discharge from any claims, losses, or liabilities for death, disability, personal injury, property damage, theft or damage of any kind resulting from my participation in this event.  I also grant permission to use my picture in any broadcast, telecast, or photo taken at this event.  I grant permission to post my race results at the event and on www.mtstmarys.org.  I hereby certify that I have read this document and completely understand all of its contents.    
 
Signature:_________________________________________________ Date:________________________ 
Parent or guardian must sign if participant is under 18 years of age. 

• Online registration is available at www.mtstmarys.org or at the school office 400 S. Church St. Grass Valley and on race day.

•  All proceeds to benefit Mt. St. Mary Academy

•  Bib and race day registration pickup, Race morning 7:00-8:00 A.M