Step 1 of 4 (Registration Agreement)

Albany Miss Flame 5K Run/Walk - 2018

Saturday, August 4, 2018 in Albany, IL at the Fire Station (in front)

  • 5K

* Click here for fee information

Waiver & Release of All Claims (Read before signing)

I have completed all parts of this form and have submitted my registration fee. I have read the accompanying event information and understand the policies of this event. I understand
that I should not enter unless I am medically able. I assume all risks associated with my voluntary participation in this event, including but not limited to, falls, contact with other participants, the effects of the weather, including extreme temperatures, traffic and all conditions on the road, and any and all other circumstances and risks of any kind or nature whatsoever, known or unknown, all such risks being known and appreciated by me. I recognize and acknowledged all such risks and possible injuries. Knowing these facts, and in consideration of your accepting my entry, I for myself or anyone else who might claim on my behalf, covenant not to sue and waive and release Albany Miss Flame officials, race officials, volunteers, all sponsors, Albany EMS and Fire Department, the Village of Albany and all its officers, employees and agents, from all claims and liabilities of any kind and nature whatsoever arising out of my participation in this event. I grant permission to all of the foregoing to use any photographs, motion pictures, re cordings or any other record of this event for any legitimate purposes.

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 11:41:22 PM EDT on 06/17/2018.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 11:41:22 PM EDT on 06/17/2018

  • American Express Discover Card Mastercard Visa
  • When this page loaded, the official time was 11:41:22 PM EDT.