2019

COOPERSTRONG 5K
The Emileigh Jo Cooper
Memorial Fund
Registration Information
NAME:_______________________________________________________________

______________________________________________________________________
ADDRESS CITY STATEZIP

PHONE #: ( ) _______-________
EMAIL:______________________________

REGISTRATION PAID ONLINE: YES_____ NO_____

Rules and Etiquette for All Runners and Walkers

Follow signs and listen to volunteers to where the route leads you. Alert walkers when
you are passing them, don’t assume they are aware of their surroundings. A simple
“on your left” warning will suffice. Be alert on curves, and crossing the street. Stop
at STOP signs and ensure oncoming traffic yields to you before proceeding across a
road. Don’t assume cars will stop if you are entering a cross walk. Please use
caution at all times. No race is worth your life or a permanent injury. Respect
private property along your route. Don’t relieve yourself in the neighbor’s bushes.
Don’t litter. Use trash cans at water stations. Listen to your body; this is for a good
cause not a gold medal! HAVE FUN!
I agree to follow these rules at all times.
“Thank You” to our Runners, Walkers, Sponsors, The City of Jackson and
Volunteers for Making this COOPERSTRONG 5k Race/Walk a Success!
Name:_____________________DATE:___/___/___
“was reminded today that my purpose is for God’s kingdom not my own”
EJC12 12/28/2015
 2019
COOPERSTRONG 5K
The Emileigh Jo Cooper
Memorial Fund
Participant Waiver for Registration
I know that running or volunteering for the COOPERSTRONG 5K, a road race is
potentially a hazardous activity, which could cause injury or death. I will not enter and
participate unless I am medically able and properly trained, and by my signature, I certify
that I am medically able to perform this event, and am in good health, and I am properly
trained. I agree to abide by any decision of a race official relative to any aspect of my
participation in this event, including the right of any official to deny or suspend my
participation for any reason whatsoever. I attest that I have read the rules of the race and
agree to abide by them. I assume all risks associated with running in this event, including
but no limited to: falls, contact with other participants, the effects of the weather,
including high heat and/or humidity, rain or hail like weather, traffic and the conditions of
the road or crossing of any intersections to complete the race, all such risks being known
and appreciated by me. I will abide by all race rules. Having read this waiver and
knowing these facts and in consideration of your accepting my entry, I, for myself and
anyone entitled to act on my behalf, waive and release the COOPERSTRONG 5K, The
Emileigh Cooper Memorial Fund, Workers, Volunteers, Jackson City Schools, or the City
of Jackson, Ohio of any negligence or carelessness on the part of the persons named in
this waiver. I grant permission to all of the foregoing to use my photographs, motion
pictures, recordings or any other record of this event for any legitimate purpose or social
media.

Signature:_____________________________________________
Date:____/____/____

Parent’s Signature if under 18:___________________________

Date:____/____/____