Step 1 of 4 (Registration Agreement)

Virtual Boys Town Memorial Day Run 2021

  • Virtual 5-Mile Course

  • Virtual 1-Mile Course

  • Group of 4+ Registration
    Choose 1-Mile or 5-Mile distance on Step 2.

  • Boys Town Staff and Family Homes

Waiver and Release

I hereby release and discharge the Village of Boys Town, Boys Town National Research Hospital, Lied Learning and Technology Center, Father Flanagan’s Boys’ Home and all sponsors for any injuries or damages sustained by me, or my child or ward, arising out of or connected with the above-described event. I also agree to allow my picture or likeness to be used in any published materials associated with the Memorial Day Run. By signing, I have indicated my agreement with all the above.

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 4:51:37 AM EDT on 05/10/2021.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 4:51:37 AM EDT on 05/10/2021

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