After your form is submitted, you will be redirected to the Special Olympics donation site. In lieu of a registration fee we encourage a $25 donation to our PCSO Torch Run Team. Thank You for your support!
PCSO Special Olympics Fundraiser
Placer County Dewitt Center
2929 Richardson Drive
Saturday, May 13, 2023
I, the undersigned, hereby acknowledge that I have voluntarily signed up to participate in the PCSO Special Olympic Fundraiser 5K Fun Run.
I acknowledge that I (or for any minor on whose behalf I am signing this release) willingly and voluntarily assume all risk of harm, including bodily injury, death or property damage as a result of my participation in this activity or of my use of Placer County facilities during the activity, and hereby waive all claims against Placer County, its employees, agents or officers as a result. Furthermore, should I (or any minor on whose behalf I am signing this release) require medical treatment during the activity, I give PCSO Special Olympics Fundraiser agents, employees, and associates express permission to provide the requisite treatment.
I agree that the terms of this release shall serve as a release of any and all legal liability, and as an assumption of risk for myself (or for any minor on whose behalf I am signing this release), my personal representatives, heirs, next of kin, spouse, members of my family, assigns and all other persons.
After submitting, you will be immediately directed to the Special Olympics donation page. Click the red 'Support Us' button to make your donation. In lieu of a registration fee we encourage a $25 donation to our PCSO Torch Run Team. Thank You.
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