1. 1 ST ANNUAL1 ST ANNUAL WARRIOR CHALLENGE 5K CAMP SCHWAB For More Information Please Call: SCHWAB ATHLETICS Sports Office: 625-2654 Issue Room: 625-2618 Fax: 625-2993 E-MAIL Robert. Gorsky@okinawa.usmc- mccs.org@okinawa.usmc- mccs.org or Russell.Marsden@okinawa.usmc- mccs.org Liability & Publicity Release In consideration for receiving permission to participate in this event, I shall indemnify, waive, release, and forever discharge the U.S. Government, the U.S. Marine Corps, the Marine Corps Community Service (MCCS), and all sponsors, medical support and any other individuals or entities connected in any way with this event from any and all claims for damages, death, personal injury or property damage and/or litigation costs/attorneys’ fees, arising from or contributing to, in whole or in part, by any act, omission, fault or mistake of the above-named persons or entities and their employees or agents, resulting from my participation in this event. I verify that I have full knowledge of the rigors of this event and the risks involved in participation, including but not limited to trip and fall, loss of orientation, exhaustion, dehydration, hypernatremia, fatigue, over-exertion, sun or heat stroke, cold injuries, hypothermia, drowning (if water event), and any other injuries related to running and/or endurance events. I assert that I am physically fit and have sufficiently trained to complete this event. I realize medical support for this event will consist primarily of first-aid type assistance, perhaps by volunteer laypersons. This waiver and release shall be binding on my heirs and assigns and shall run in favor of the above- named persons or entities and any individuals in any way connected with this event. I further agree to have my participation in this event videotaped and photographed, and I hereby waive and release all rights to said videotapes and photographs(in digital or print format) to MCCS for its exclusive use in publicity for and/or illustration of athletic events. I agree to abide by all decisions of MCCS and its designated officials. I have read and understand the contents of this Liability & Publicity Release. Participant’s Signature: ___________________ Printed Name: __________________________ Date: __________________________________ Legal guardian must also sign if participant is 15-17 years old. Guardian’s Signature: ____________________ Printed Name: __________________________ Date: __________________________________ May 23, 2015 Register by C.O.B. on May 20, 2015

2. Time of Event: Saturday, 23 May 2015 @ 1000 Registration Deadline: Pre-Registration at any MCCS Athletics Facility by Close of Business (2200) on Wednesday May 20 th. May register no later than 2200 on May 22, 2015 only at Schwab Athletics Power Dome. Late Registration will be May 23 rd at 0830-0930 at Camp Schwab Aquatics Center. “Only Cash/Yen Payments on Late Reg. day” Show Time: Registered participants will need to check in from 0830-0930 at the Camp Schwab Aquatics Center on the day of the event. Location: Camp Schwab Brief: Day of the event at 0945. Schwab Aquatics Center (Pool Parking Lot) Attendance is required for participation. Start Time: Race start time:1000 Entry Fee: Individual- $25.00 or ¥3000 (yen accepted only at late reg.). Team- $50.00 or ¥6000 (yen accepted only at late reg.) - up to 3 members per team Registration and payment must be completed at the same time. In case there is an issue with your registration please bring your receipt of payment with you on race day. All registered participants must check in no later than 0930 at the registration canopy located at the Camp Schwab Aquatics Center parking lot. First Name: _______________________ Last Name: ________________________ Work Phone: ______________________ Home Phone: ______________________ Cell Phone: _______________________ Age on Day of Race (May. 23rd, 2015): _______ Email: _____________________________ -------------------------------------------------------- T-Shirt Size: SM / MD / LG / XLG ------------------------------------------------------- EVENT INFORMATION Participation: This event is open to participants island wide ages 15 and older. *Children 15 to 17 years will require a signed waiver and must have a parent or legal guardian on site at the event. Please be advised that children younger than 15 can not participate. Distance: 5K Run w/obstacles, sand, hardtop, stairs and more. The run will begin and end at the Schwab Aquatic Center (pool). NOTE: THE POOL WILL NOT BE USED FOR ANY PORTION OF THIS EVENT!!! Awards: T-shirts/towels to ALL registered participants Other Info: Participants finish times will not be recorded. Gates will be open at 0730 for participants of the Camp Schwab Warrior Challenge 5K. Please advise gate guards upon entrance. PARTICIPANTS INFORMATION WARRIOR CHALLENGE 5K TEAM INFORMATION: First Name: _______________________ Last Name: _______________________ Signature: _______________________ -------------------------------------------------------- T-Shirt Size: SM / MD / LG / XLG ------------------------------------------------------- First Name: _______________________ Last Name: _______________________ Signature: _______________________ -------------------------------------------------------- T-Shirt Size: SM / MD / LG / XLG ------------------------------------------------------- First Name: _______________________ Last Name: _______________________ Signature: _______________________