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Step 1 of 4 (Registration Agreement)

Polk City Four Seasons Festival
8K Run and 5K Run/Walk

Saturday, July 20, 2019 in Polk City, IA at 3rd and Broadway

  • Individual Entry
    Shirts Guaranteed Through 7/4/2019

  • Family Entry
    Shirts Guaranteed Through 7/4/2019

  • Donation To Four Seasons Festival
    Not An Event Entry

* Click here for fee information

Participant Waiver

In submitting this entry, I hereby, for myself, my heirs, executors and administrators, waive any and all rights and claims for damages I may or hereafter have against individuals associated with this event, their agencies, representatives and successors, for any and all injuries suffered by me or my family members registered under my signature in said event. I certify that I have full knowledge of the risks involved in this event and that I am physically fit and satisfactorily trained to participate in it and have no medical or physical condition to prevent my participation in it. I give my permission for the use of my name and picture in any broadcast, telecast, or print media account of this event.

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 4:48:03 AM EDT on 07/18/2019.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 4:48:03 AM EDT on 07/18/2019

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