Step 1 of 4 (Registration Agreement)

Sickle Cell 5K Walk/Run - 22nd Annual

Saturday, June 23, 2018 in Indianapolis, IN at Riverside Park

  • 5K Group or Team Registration

    Register 3+ and Save.
    Youth 16 and under pay only $16.

    Adult Registration

Waiver and Release

In consideration of the foregoing, I for myself and for my minor child (if any), my heirs, executors and administrators, agree (1) we are participating voluntarily in, and could become ill or injured due to physical activity associated with this event, and (2) for the privilege of participation, do release and forever discharge any and all rights, claims, and liabilities whatsoever for damages I may have against any of the sponsors; organizers; Martin Center, Inc., and their respective officers, employees and agents; Indy Parks; and the City of Indianapolis 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 waive all claims for damage for loss to my or my child's person or property which may be caused by an act of omission of Martin Center arising from directly or indirectly from participation; assume all liability for any injury, loss of life, or damage to personal property from participation caused by me or my minor child, and grant irrevocable full permission to Martin Center and its parties to use my or my child's name/likeness in all media, including photos, videos, film, website, or other event records where I/we may appear.
I understand that I have given up substantial rights by signing this release, and have signed it (or submitted an electronic acknowledgment) freely and voluntarily without any inducement, assurance or guarantee being made to me and intend my signature to be a complete and unconditional release of liability to the greatest extent allowed by law.
In the event that weather or other unforeseen circumstance causes a cancellation of the event, there will be no refunds; rather your entry fee will be used as a donation to the Martin Center, Inc. Please note there will be a $20 fee for all returned checks.

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 1:17:20 PM EDT on 06/18/2018.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 1:17:20 PM EDT on 06/18/2018

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