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Assumption of the Risk and Waiver Statement

In consideration for the acceptance of my registration as a participant in the above entitled event, and with the understanding that my participation in this event is only on condition that I enter into this agreement, for myself, my heirs and assignees, I hereby assume the inherent and extraordinary risks involved in the April Aids Run and any risks inherent in any other activities connected with this event in which I may voluntarily participate.  I expressly assume the risk of and accept full responsibility for any and all injuries, including death and accidents which may occur as a result of my participation in this event and release from liability, Villanova University, The Villanova Running Club, Sigma Alpha Mu Fraternity and each of their officers, director and agents, representatives, employees and members.  I hereby waive any claim I may have hereafter as a result of my participation in the April Aids Run and in any other activities connected with this event in which I may voluntarily participate.  I hereby agree to indemnify or my property which may occur as a result of my voluntary participation in the April Aids Run. “I have read and understand the above statement.”

Print Name:                                          Signature:                                            Date:

Phone:_____________            Gender ___Male            ___Female     Age on Race Day:___

Mailing Address:_________________________, City, State, Zip Code:______________

Check Method of Payment Enclosed:                      ____Check            ____Money Order