Magnus Mud Run

Your Name (required)

Your Email (required)

Your Phone Number (required)

Your Address (required)

Child's Name and Age

I agree to assume full responsibility for the safety of the registered children and will hold the Galloway Patriot, its owners, and Galloway Township absolutely harmless in any event. I certify that I am the parent or legal guardian of the child for which I am registering and will personally accompany the child to the event. I understand that it my responsibility to watch my child and assist my child as they negotiate the obstacles. I completely understand and accept that it is not the responsibility of the Galloway Patriot, its owners, employees or the Township of Galloway to watch my child or make sure that they are safe. I will not walk away from my child or allow someone else at the event to manage my child. I understand that it is my responsibility to decide if my child can safely navigate any and/or all obstacles. I understand that I must stop my child if they are acting in any manner which is unsafe for them or other children around them. I will make sure that my child behaves in a safe manner at all times. I will instruct my child to be safe at all times. I make a personal guarantee to cover any and all financial costs arising from any and/or all injury and that I will pay all legal, medical and or damages relief awarded in any legal action against the Galloway Patriot, its owners and/or the Township of Galloway.