Dutch Dash: Tradition Edition
Join us on Friday, April 26, 2024, for the Dutch Dash, a 1.853-mile run/walk celebrating all of your favorite Central College traditions! Please fill out the form below to sign up for this free event. Get there early to snag one of the free t-shirts and stay late to enjoy a drink at the cash bar which will be available to those 21 and older with a government-issued ID. Have questions? Please contact Kristi Leonard at leonardk@central.edu.
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メールアドレス *
Participant(s) Name (please include all in household) *
Affiliation with Central (check all that apply)
How did you hear about the Dutch Dash?
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Emergency Contact *
Emergency Contact Phone number *
Participant/Adult Signature - please read below and type your name as your electronic signature *
Consent and Waiver of Responsibility
I, the undersigned participant, agree to indemnify and hold harmless Central College and any of its agents, employees, trustees, or representatives for any injury or loss suffered by me due to my participation in the Activity or Activities specified above (hereinafter collectively referred to as “Activity”).  I hereby agree that I have been fully advised of the nature and extent of the Activity that may take place and represent to you that I am physically and mentally able to participate in the Activity without special accommodations or additional supervision.

I understand that the Activity may present the risk of injury, or even death, to me, and I have been fully advised of those possibilities.  I represent to you that I fully assume the risk of any such injury or death, and I hold you, your agents, employees, trustees, and representatives harmless from any liability or death to me while engaged in this Activity that is caused or contributed to by my conduct or the conduct of any other participants.  I further agree to indemnify and defend you, your agents, employees, trustees, and representatives against any claim or liability asserted for any such injury or death.

I also hold you, your agents, employees, trustees, and representatives harmless from all liability to any other person or entity arising as a result of the conduct of myself or the other participants in the Activity and I agree to defend and indemnify you, your agents, employees, trustees, and representatives against any claim or liability arising as a result of such conduct.

If I am not able to be consulted for any reason in the case of an emergency or necessity arising during the course of the Activity or as a result of the Activity, I authorize you to contact the emergency contact person or persons listed above and to arrange for such medical and hospital treatment as you may deem to be advisable for my health and well being.

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