Stewart Memorial Community Hospital 2-Mile Fun Run/Walk

Saturday, June 29, 2024 at West side of Lake City Town Square in Lake City, IA

What category would you like to sign up for? You can sign up for any of the following categories.

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Waiver

In the event Fun Run is canceled, no refund will be made. T-shirt orders will be honored and available for pickup the week of June 19th.

In consideration of your acceptance of this race entry, I, for myself, my heirs, executors, administrators and assigns, forever waive, release and discharge any and all rights, demands, known and unknown that I may have against Calhoun County, City of Lake City and Stewart Memorial Community Hospital members and agents for any and all injuries in any manner arising or resulting from my participation in the race. I attest and verify that I have full knowledge of the risks involved in this race, that I freely and voluntarily assume and pay my own medical and emergency expenses in the event of an accident, illness or other incapacity, regardless of whether I have authorized such expenses, and that I am physically, if not sufficiently trained to participate in this race.

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 6:45:01 AM EDT on 05/17/2024.