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Copy of 141531 Test

Thursday, November 20, 2025 at 150 Burr Ridge Parkway in Burr Ridge, IL

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Waiver & Release

I, the undersigned, certify that I have read and agree to abide by the following rules and conditions for my participation in the MECCA Moves! 5k & 1K Run, Walk & Roll. If I am under the age of 18, my parents have consented for my participation on my behalf. I assume full and complete responsibility for any injury or accident which may occur during my participation in the event or while I am on the premises of the event, including but not limited to falls and physical contact resulting from contact with other participants, volunteers, race personnel, contract service providers, employees, and spectators. I assume all risks including the effects of the weather; high heat and/or humidity; freezing cold temperatures; traffic and the conditions of the road including surrounding terrain. I also give my full permission for such first aid as deemed necessary to be provided to me on the premises or prior to transport to a hospital for further treatment. I understand that bicycles, skateboards, roller skates or inline skates and animals (unless service animals) are not allowed on the course.

I grant permission to use any photographs, videotape, motion pictures, recordings or any other record of this event for any legitimate purposes.

I understand that fees are non-refundable. I consent that I am not entitled to a refund if the event is cancelled before or during due to weather and/or other issues. All fees will be given as donation to the beneficiary, Brightpoint.

Having read this waiver, I and anyone entitled to act on my behalf, waive and release The MECCA Center, the MECCA MOVES! 5K 1K Run, Walk & Roll, the City of Burr Ridge, all event sponsors, promoters, entities, employees, their representatives and successors or otherwise associated with the event or from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver.



Please Sign Below

Your electronic signature is the online equivalent of your ink-on-paper signature, and can be provided by typing your name where indicated. The electronic signature will signify your understanding, acceptance, and authorization to accept the conditions of this legal document, including the following statements:

  • I have read, have understood, and do accept the agreement above.
  • I understand that this is a legal document with effects that I approve and authorize.
  • The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
  • I am authorized to agree to the terms of this document on behalf of the registrant.
  • If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.

Electronic Signature

You must be 18 years of age to legally complete this registration. If the registrant is under 18, an authorized adult must complete this form.
If the person you are registering (registrant) is under 18, do not enter his/her age. You will do that on the next step. Enter your age here as the person completing the form.




Multiple signers should separate their signatures with commas.


This agreement was generated at 7:55:37 PM EST on 11/02/2025.