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DECADES DASH 5K PARTICIPANT INFORMATION

Participant Name(Required)

First Last

Date of Birth(Required)

Month

Day

Year

Is Participant is under 18 years of age.(Required)

Yes

EMAIL (Parent/Guardian if participant is under 18)(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

EMERGENCY CONTACT

Name(Required)

First Last

Phone(Required)

WAIVER AND RELEASE

Consent(Required)

I understand that running in the Decades Dash 5K is a potentially hazardous activity that could result in injury or death.

Consent(Required)

I acknowledge that I am participating in the Decades Dash 5K of my own free will and at my own personal risk. I will not participate unless I am medically able and properly trained. By signing this waiver, I certify that I am medically able to perform the Decades Dash 5K, am in good health, and am properly trained.

Consent(Required)

I agree to abide by all Decades Dash 5K rules and regulations, as well as any applicable public health guidance

Consent(Required)

I assume all risks associated with participating in the Decades Dash 5K including but not limited to: falls, contact with other participants, volunteers, or spectators, the effects of weather (including high heat and/or humidity), traffic, and road or course conditions. I understand that these risks may be known or unknown and are fully accepted by me.

Consent(Required)

Having read this waiver and in consideration of my entry being accepted, I, for myself and anyone entitled to act on my behalf, waive and release Long Trail School and the Town of Dorset, Vermont, all event sponsors, and their representatives and successors from any and all claims or liabilities of any kind arising out of my participation in this event, even if such liability arises from negligence or carelessness on the part of the persons named in this waiver.

Consent(Required)

I grant permission to Long Trail School and Decades Dask 5K sponsors to use photographs, video, audio recordings, or other records of my participation for any legitimate purpose.

This release is a binding legal contract.(Required)

I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability. I understand that this release is a contract. I sign it of my own free will. I also understand that this contract is severable, in other words, that if any part of this contract is held by a court of law to be unenforceable, the rest of the contract shall survive.

Parental Consent(Required)

As a parent or guardian of a minor participating in the Decades Dash 5K at LONG TRAIL SCHOOL on May 9, 2026, I agree to indemnify and hold harmless LONG TRAIL SCHOOL and all other parties released, in the event a minor member of my family sues them or any one of them. I understand that this means I will pay all fees, costs, and charges incurred by LONG TRAIL SCHOOL or any other parties released, including attorney fees. This release applies to and binds my personal representatives, executors, heirs, and family. If a member of my family under the age of 18 accompanies me to Long Trail School, I make this release and these representations of his or her behalf as well as my own and agree to assume responsibility for his or her safety.

This release is a binding legal contract.(Required)

Parent/Guardian Signature (if under 18)