Finishing The Dream Registration

Sigma Pi Alpha Sorority, Inc. proudly presents

Finishing the Dream First Name _

_________________ Last name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Male _ Female _ Birth Date: _ _ -_ _ - _ _ _ _ Email address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Phone # _ _ _ -_ _ _ - _ _ _ _ Mailing Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Apt. #/ Suite _ _ City _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ State _ _ Zip code _ _ _ _ _ Age _ _ Team Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Release (Must be signed by all participants or parent/ guardian if under the age of 18): I understand that my consent to these provisions is given consideration of the acceptance of this registration for being permitted to participate in this event. I AM A VOLUNTARY PARTICIPANT IN THIS EVENT AND IN GOOD PHYSICAL CONDITION. I KNOW THAT THIS EVENT IS A POTENTIALLY HAZARDOUS ACTIVITY AND I HEREBY ASSUME FULL AND COMPLETE RESPNSIBILITY FOR ANY INJURY OR ACCIDENT WHICH MAY OCCUR DURING MY PARTICIPATION IN THIS EVENT OR WHILE ON THE PREMISES OF THIS EVENT, AND I HEREBY RELEASE AND HOLD HARMLESS AND CONVENANT NOT TO FILE SUIT AGAINST SIGMA PI ALPHA SORORITY, INC., FINISHING THE DREAM, OR THE CITY OF LOS ANGELES AND THEIR RELATED ENTITIES, DIRECTORS, PARTNERS, MEMBERS, EMPLOYEES, CONTTRACTORS AND ALL OTHER PERSONS AND ENTITIES AFFILIATED WITH THIS EVENT. I CLAIM RESPONSIBILITY FOR ANY LOSS, LIABILITY, OR CLAIMS WHATSOEVER I MAY HAVE ARISING OUT OF PARTICIPATION FOR THIS EVENT, INCLUDING PERSONAL INJURY OR DAMAGE SUFFERED BY ME OR OTHERS, WHETHER SAME BE CAUSED BY FALLS, CONTACT WITH OTHER PARTICIPANTS, CONDITIONS OF THE COURSE, NEGLIGENCE OF THE RELEASEES OT OTHERWISE. If I do not follow all the rules of this event, I understand that I may be removed from the competition. I give my full permission to Sigma Pi Alpha Sorority, Inc., Finishing the Dream, and their sponsors and corporate sponsors to use any photographs, videotapes, audiotapes or other recordings of me that are made during the course of this event. I understand that this waiver and release may be stored electronically and agree that a copy is authentic and admissible as evidence in any future dispute or proceedings.

* Signature

Mail in completed entry forms to: Sigma Pi Alpha Sorority, Inc 15511 Sherman Way #46 Van Nuys, CA 91406 OR turn in to your nearest ELLA REGISTRATION FEES

Early Registration By February 9th

$10

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Late Registration $15 February 9th- March 8th

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Race Day Registration March 9th

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$20

Payment by _____ Cash or _______ Check (Payable to: Sigma Pi Alpha Sorority, Inc.)