2025 Osage Nation Sovereignty Day 5K and 1 mile Fun Run

Saturday March 15 – Osage Nation Health Complex

Run starts at 10 a.m.

What do you need?
Comfortable shoes
Clothing fit for the weather

Please arrive early to make sure you check in before the race.

Please return the form digitally or via hard copy to:
Osage Nation Fitness Center or email hpowell@osageanation-nsn.gov
Call 918-287-5421 for more information.

Must have an application for each person that will be entering the run.
Name Name First Last
Age
Date Date / MM / DD YYYY
Sex:

Sex: M F
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
PLEASE READ AND SIGN THE PARTICIPATION WAIVER BELOW
I know that running/walking is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I assume any and all risks associated with running this event including, but not limited to falls, contact with other participants, the effects of weather and the conditions of the roads and trails and all such risks being known and appreciated to me. I agree to yield to all emergency vehicles. I am fully aware that wheels of any kind are strictly prohibited and I agree not to have them on the course. Furthermore, I agree not to go back on to the course after finishing. Knowing these facts, and in consideration of your accepting my entry, I hereby for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf, covenant not to sue, and waive and release and discharge any and all race sponsors, officials, volunteers, local and state police including any and all of their agents, employees, assignees, volunteers, or anyone acting on or for their behalf from any and all claims or liability for death, personal injury, or property damage of any kind or nature whatsoever arising out of or in the course of my participation in this event whether same be caused by negligence or fault. This release and waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned grants permission to sponsors and/or agents authorized by them to use any photos, videotapes, motion pictures, or any other record of this event for any purpose. This Waiver shall be governed and construed pursuant to the laws of the Osage Nation. Participants must be present the day of the event to obtain t-shirt. Signature is required to participate. Minors accepted only with a parent or guardian signature.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Parent or Guardian Signature:

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date of signatures: Date of signatures: / MM / DD YYYY

2025 Osage Nation Sovereignty Day 5K and 1 mile Fun Run

2025 Osage Nation Sovereignty Day 5K and 1 mile Fun Run

Must have an application for each person that will be entering the run.

PLEASE READ AND SIGN THE PARTICIPATION WAIVER BELOW