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Step 1 of 4 (Registration Agreement)

Alex Warnke D.O.T. Memorial 5K Run/Walk

Saturday, June 26, 2021 in Maynard, IA at West Central School

  • 5K Run/Walk
    Register by June 11th, 2021 to guarantee a race shirt



  • Donation to Iowa Donor Network



* Click here for fee information


Waiver

By signing, I accept all rules and conditions and will comply with them. I am physically fit and have sufficiently trained for the competition of this run. In consideration of you accepting this entry, I, the undersigned, intending to be legally bound, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages, demands, actions and causes of actions against the DOT Memorial Run, the city of Maynard, their affiliates, subsidiaries, officials, representatives, employees, successors and assigns for any and all injuries suffered by me in this event. Further, I hereby grant full permission for the free use of my name and/or any photographs of this event for any legitimate purpose.



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 9:48:58 AM EDT on 06/12/2021.







Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 9:48:58 AM EDT on 06/12/2021


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