First Name *
Email Address *
In consideration of this acceptance of this entry, I hereby waive and release all rights and claims for damages I may have against Genésic Nonprofit Organization Incorporated and Albany State University and any and all sponsors and officials of this race from any liability arising from illness, injuries may suffer as a result of my participation in this event. I attest and verify that I am physically fit and have sufficiently trained for this event. Upon submitting this form, I give my permission for the use of my image and name in media coverage of this event.