Step 1 of 4 (Registration Agreement)

Purdue Boilermaker Half-Marathon & 5k - Presented by Franciscan Health

Saturday, October 13, 2018 in West Lafayette, IN at Ross-Ade Stadium

  • 5K

  • Volunteer
    Race entry not included

* Click here for fee information

Waiver and Release

In consideration of the foregoing, I, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against any of the sponsors, organizers, City of West Lafayette, City of Lafayette, Purdue University, Tuxedo Brothers, Inc., their employees, contractors, volunteers for any and all claims of damages, demands or loss actions whatsoever which may arise as a result of my participation in this event. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and my physical condition has been verified by a licensed medical doctor. I also understand the unique nature of this run/walk event. I understand that I will be issued an IPICO timing device. I agree to immediately return this device after the race, or pay a $20 replacement fee to cover the cost. Further, I grant full permission to any and all of the foregoing to use my likeness for any legitimate purpose whatsoever.

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

Multiple signers should separate their signatures with commas.

This agreement was generated at 11:04:11 PM EDT on 09/21/2018.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 11:04:11 PM EDT on 09/21/2018

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