Step 1 of 4 (Registration Agreement)

Frontline & Cornbelt Running Club QCM Fall Marathon/Half Training Program

in Davenport, IA

  • Individual Participant
    Program begins Sunday June 5, 2022 at 7:00 AM

* Click here for fee information


In consideration of the acceptance of my registration form, I for myself, my executors, administrators, and assigners, do hereby release and discharge Cornbelt Running Club, Quad Cities Marathon, Frontline Spine and Sport, City of Davenport, Davenport Parks & Rec., City of Bettendorf, City of Rock Island, City of Moline, City of East Moline, any sponsors, supporters or volunteers, for all claims and damages, demands, and actions whatsoever in any manner arising from participation in the Fall Marathon Training Program. I attest and verify that I have full knowledge of the risks involved in this program, am physically fit, and sufficiently trained to participate in this program. By signing I give CBRC permission to use any photographic images of myself associated with the event. No refund policy including weather cancellations. If needed, I further agree to abide by the Center for Disease Controlís (CDC) recommendations for the prevention of the spread of the 2019 Novel Coronavirus Disease (COVID-19) and other communicable diseases, and I attest to having read the CDCís guidance at:

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 7:03:43 PM EDT on 07/06/2022.

Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 7:03:43 PM EDT on 07/06/2022

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