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Step 1 of 4 (Registration Agreement)

Black Hawk College 5K Hustle

Saturday, November 13, 2021 in Moline, IL at Black Hawk College, Building #1, 6600 34th Avenue

  • 5K

* Click here for fee information


I know that running/walking a race is a potentially hazardous activity. I assume all risk associated with this event including and not limited to falls, injuries, and contact with other participants, effects of weather, traffic and road conditions. I, for myself and anyone entitled to run on my behalf, waive and release the Black Hawk 5K Hustle, race officials, organizers, sponsors, volunteers, and Black Hawk College and its employees and contractors from all claims and liabilities. I further state that I have trained accurately and am in suitable athletic condition to compete in 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 1:47:34 PM 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 1:47:34 PM EDT on 06/12/2021

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