Step 1 of 4 (Registration Agreement)

Go the Distance for Crime Victims

Saturday, April 13, 2019 in Marion, IA at Thomas Park, Corner of Hwy 151 & Blairs Ferry

  • 5K Run/Walk

  • Purchase A Go the Distance for Crime Victims 5K Bandana
    Not An Event Entry

  • Donation
    Proceeds from the Go the Distance for Crime Victims 5K will continue to directly benefit victims of crime in Eastern Iowa

* Click here for fee information

Event Waiver and Release Form

I hereby absolve and release the City of Marion and its employees, Linn County, The Go the Distance for Crime Victims Race Committee (GTDRC), and all participating event sponsors and the affiliates of such parties, for any and all injuries resulting from my participation in the Go the Distance 5K Run/Walk. I understand GTDRC strongly discourages the use of headphones as part of this race is on public streets. If I decide to use headphones I am doing so at my own risk. I assume all expenses in the event of an accident, illness, or other incapacity regardless of whether I have authorized such expenses. I am physically fit and sufficiently trained to participate in this event. If, however, I am injured and require medical attention, I hereby give my consent to provide medical care. I release the rights to any and all photographic material and computer information the race committee may use from this event without obligation to me.

There are no refunds.

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 5:05:33 AM EDT on 03/20/2019.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 5:05:33 AM EDT on 03/20/2019

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