Sweat IV Vet    Sunday, 10/27/19
Please mail completed application to:
Harris County Sheriff's Office
Attn. Charlotte Williams
2316 Atascocita Road
Humble, TX 77396
charlotte.williams
@harriscountyso.org

Name _____________________________________                   Male / Female

Address ___________________________________       Age on race day ________     Birthdate _________       

City, State, Zip _______________________________                  

Phone (day) ________________ night ________________          

Email address ___________________________________   

Sweat IV Vet 5K                  $25 thru 10/19/19 $30 10/20-10/26/19     $35 Race Day     
    $________

Kid's 1K                                    $15                                                                                                           $________
No Sweat  (spectator with shirt)  $15                                                                                                 $________
Car Show                                  $25                                                                                                $________
Motorcycle rider              $25                                                                                                $________
Motorcycle passenger              $15                                                                              $________
Info about the Motorcycle Charity Ride 9/7/19: David Ritchie 713-416-7833

Shirt size: Youth   Small    Medium   Large  
Adult
   Small    Medium   Large    XL    XXL  XXXL
circle one
   
Donation to benefit our military veterans                                                                                                  $ ________
                                                                                                                                   
Make check payable to:   
Sweat IV Vets                                            Total Enclosed                         $ ________

Waiver Must Be Signed

Waiver: All participants in the Sweat IV Vet events assume all risk of participation in the event by signing the release agreement.  I the undersigned athlete on behalf of myself and on behalf of my heirs, my executors, my administrators and my trustees, waive and release any and all rights and claims for any loss(es), injuries and damages including, but not limited to demands or actions for negligence, premises liability, emotional injury, intentional conduct, tort claims, and any other actions or demands of whatever nature, I have or may have against 1) Sweat IV Vet, 2) its officials, agents and representatives, 3) Harris County Sheriff's Office, 4) all sponsors of the event in which I may participate whether my participation is as a contestant or as a spectator.  I acknowledge that I am aware of the inherent risks involved in this event and I voluntarily assume the risks.  I attest and verify that I am physically fit and I have sufficiently trained for the competition of the above-mentioned event in which I participate.  I hereby grant full permission to any and all of the foregoing to use my name, and/or my picture in any account of this event for any purpose whatsoever.  I have read the entry information provided for the event and certify my compliance by signing below.  Athlete acknowledges that the entry fee is non-refundable and non-transferable.

Signature of athlete_______________________________ Date ___________

* Signature of parent/guardian ______________________ Date ___________

*(if athlete is under 18) I certify that my son/daughter has my permission to compete in the Sweat IV Vet events, is in good physical condition and that race officials have my permission to authorize emergency care if necessary.