Race for Grace 5K Online Registration

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Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your BikeSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Format: ###-###-####

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

5K Run/Walk

$15.00 + $1.90 SignUp Fee

(Group Pricing)

Waiver

I UNDERSTAND FOR HIMSELF, HERSLEF, HIS OR HER HEIRS, EXCUTORS & ADMINISTATIONS IN CONSIDERATION FOR BEING PERMITTED TO VOLUNTER IN &/OR ENTER THE RACE FOR GRACE DOES HEREBY FOREVER RELEASE HOLD HARMLESS & DISCHARE RACE FOR GRACE ORGANIZERS, VOLUNTEERS, VENDORS, SUBCONTRACTORS, & SPONSORS FROM ALL CLAIMD OR DEMANDS OF LIABILITY IN ANY MANNER ARISING OUT OF MY PARTICIPATION IN THIS VENT. I CERTIFY THAT I HAVE PREPARED MYSELF FOR THE EVENT, & THAT I AM IN ADEQUATE PHYSICAL CONDITION TO COMPLETE THIS EVENT. I ALSO AGREE TO FOLLOW ALL RULES OF THIS RACE. I FURTHER GRANT MY PERMISSION FOR RACE ORGANIZERS TO USE ANY PHOTOGRAPHS, VIDEOTAPES, & ANY OTHER RECORDS OF THIS EVENT.

By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them, and agree to the Privacy Policy.

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Race for Grace 5K

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