5k Run/Walk to End Domestic Violence
Join us to raise awareness and walk to end intimate partner violence! We are inviting all members of the community to participate in this event to show support to survivors, remember those we have lost, and to show that we will not tolerate any form of abuse in our community.
Walk/run this 5k course with us on October 2nd at 10:00 am!
Registration begins at 9:30
This family-friendly event includes a walk/run on the Montpelier Bike Path, starting and ending on the State House lawn.
Proceeds will be donated to CIRCLE of Washington County and the Courtney Gaboriault Memorial Scholarship fund.
Can’t wait to see you there! Every participant will receive a t-shirt.
If you are unable to attend and would like to make a donation please visit:
paypal.me/courtneysallies
https://venmo.com/Courtneys-Allies
Sub Event
Cost
Distance
$30.00
5km
$15.00
5km
Run/Walk to End Domestic Violence Informed Consent Form
REGISTRATION, WAIVER and RELEASE OF LIABILITY
General Statement of Program Objectives and Procedures:
I understand that this physical fitness program includes exercises to build the cardiorespiratory system (heart and lungs), the musculoskeletal system (muscle endurance, strength and flexibility, and to improve body composition (decrease of body fat with an increase in weight of muscle and bone). Exercise may include aerobic activities (running, walking and other similar activities),and callisthenic exercises for muscular strength.
Description of Potential Risks:
I understand that the reaction of the heart, lung and blood vessel system to exercise cannot always be predicted with accuracy. I know there is a risk of certain abnormal changes occurring during or following exercise which may include abnormalities of blood pressure or heart attacks. Use of weights and engaging in body calisthenics may lead to muscle strains, pain and injury. I further understand that the trainer shall not be liable for any damages arising from personal injuries sustained by me while and during the fitness program.
| hereby fully and forever release and discharge Courtney’s Allies, its assigns and agents from all claims, demands, damages, rights of action, present and future herein.
I understand the warrant, release and agree that I am in good physical condition and I have no disability, impairment or ailment preventing me from engaging in this fitness program that will be detrimental to my health, safety, comfort or physical conditions if I engage or participate.
| state that I have had a recent physical checkup and have my personal physician's permission to engage in aerobic and/or anaerobic programming.
Walk to End Domestic Violence Informed Consent Form
REGISTRATION, WAIVER and RELEASE OF LIABILITY ΡΑGΕ TWO
I indemnify and hold harmless Courtney’s Allies and their elected and/or appointed officials, employees, students, agents and volunteers, from any and all liabilities or claims made by other individuals or entities as a result of or relating to my participation in this activity. Therefore, intending to be bound and as a condition of being allowed to participate in this 5K, I have freely signed this Agreement and Waiver/Release of Liability.
SecureFee™ Registration Cancellation Insurance is offered in most states. If purchased, your registration may be covered for one of the covered reasons stated in the policy.
