Online Event Registration

Siena's PWS Walk 2011 - Cost: $10.00 for participants over 10 years of age.

Name First Last
Address
Street Address

Address Line 2

City

State

Zip Code

Country
Phone - (###) - ### ####
Email
Email Address
Please read any waiver carefully. It includes a release of liability and waiver of legal rights and deprives you of the ability to sue certain parties. Do not agree to this document unless you have read and understood it in its entirety. By agreeing electronically, you acknowledge that you have both read and understood the text presented to you as part of the registration process. You also understand and agree that events carry certain inherent dangers and risks which may or may not be readily foreseeable, including without limitation personal injury, property damage or death. Your ability to participate in the event(s) is/are subject to your agreement to the waiver and by agreeing herein, you accept and agree to the terms of the waiver and release agreement.

open printable version of the following waiver
By indicating your acceptance, you understand, agree, warrant and covenant as follows: I hereby, for myself, my heirs, and executors, waive, release, and discharge all rights and claims that I may have or may hereafter accrue against the organizers and sponsors of the Siena’s PWS Walk 2011, including, but not limited to, the family of Siena Schoenberger, Siena’s Special Needs Trust, the sponsors, their representatives, and successors, and South Hills Park for any injury or illness, which may directly or indirectly result from my participation in Siena's PWS Walk. Further, I hereby grant full permission to all the foregoing to use my name, photograph, videotape, motion picture, and recording by any other record of this event without compensation. BY INDICATING YOUR ACCEPTANCE OF THIS AGREEEMENT AND WAIVER, YOU ARE AFFIRMING THAT YOU HAVE READ AND UNDERSTAND THIS AGREEMENT AND WAIVER AND FULLY UNDERSTAND ITS TERMS. YOU UNDERSTAND THAT YOU ARE GIVING UP SUBSTANTIAL RIGHTS, INCLUDING THE RIGHT TO SUE. YOU ACKNOWLEDGE THAT YOU ARE SIGNING THE AGREEMENT AND WAIVER FREELY AND VOLUNTARILY, AND INTEND BY YOUR ACCEPTANCE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
You must be over 18 years of age OR the parent/legal guardian of a minor under 18 years of age OR the legal guardian of an incapacitated and/or mentally challenged person in order to agree to the text above.

I agree to the above waiver.
I do not agree to the above waiver.
click here for an alternate method if you are unable to submit this form.