GLOW RUN:
SSU Student Registration

Fill out the form below to register for free as an SSU student.

Note: Free student registrations do not include a t-shirt. You can purchase a shirt for $10.

 
Name *
Name
Address
Address
Waiver
I understand that Shawnee State University (SSU) is sponsoring the Glow Run. In consideration for permission to participate in the Activity, I acknowledge and understand the following: • There are risks and hazards that may arise from participation in the Activity and that these risks and hazards may result in injury, death, damage to and/or loss of property. • My participation in the Activity is entirely voluntary. • SSU is not legally responsible for my personal safety or the safety of my property during the Activity. • It is my responsibility to obtain personal health insurance. I further state or agree: • I am not aware of any health related or medical reason why I should not participate in the Activity. • I will conduct myself in a responsible manner and will follow available safety procedures and instructions. In consideration for participation in this Activity, I, for myself, my executors, administrators, and assigns, release and forever discharge SSU and its Board of Trustees, officers, employees and agents from all claims of losses, damages, injuries or costs, and any actions whatever, including, but not limited to, those based on negligence, in any manner arising out of my participation in this Activity. I understand that this Release means that, among other things, I am giving up my right to sue Shawnee State University for any such losses, damages, injuries, or costs that I may occur.
I have carefully read this agreement and understand it to be a release of all claims and causes or action for my injury or death or damage to my property that occurs while participating in the described Activity and it obligates me to indemnify the parties named for any liability for injury or death of any person and damage to property caused by my negligent or intentional act or omission. *