Moonlight Chase

Saturday, July 8, 2023 at North Second Street - Downtown in Eldridge, IA

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

1/4 Mile Youth Fun Run

(ages 6 and under)

* Click here for fee information

1-Mile Youth Run/Walk

(ages 7-14)

* Click here for fee information

4-Mile Certified Run

* Click here for fee information

Event Waiver and Release Form

WARNING: READ CAREFULLY. THIS AGREEMENT INCLUDES A RELEASE OF LIABILITY AND WAIVER OF LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE THE MOONLIGHT CHASE AND OTHER PARTIES. DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT IN ITS ENTIRETY. SEEK THE ADVICE OF LEGAL COUNSEL IF YOU ARE UNSURE OF ITS EFFECT.

I understand there are inherent risks in participating in any road race. In consideration of the acceptance of my entry, I, for myself, my executors, administrators and assignees, do hereby release and discharge, the Moonlight Chase Committee, the Eldridge North Scott Chamber of Commerce, the city of Eldridge, any sponsors, supporters or volunteers, for all claims and damages, demands, actions, whatsoever, in any manner, arising or growing out of my participation in the Moonlight Chase 4-mile/1-mile/1/4-mile run(s). I attest and verify that I have full knowledge of the risks involved in this event, am physically fit, and have sufficiently trained to participate in this event.

If I do not follow all the rules of this event, I understand that I may be removed from the competition. I give my full permission to the Moonlight Chase and their sponsors and corporate sponsors to use any photographs, videotapes or other recordings of me that are made during the course of 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.

Provide your current age:

Provide your electronic signature by typing your name:

Multiple signers should separate their signatures with commas.

This agreement was generated at 2:06:14 PM EDT on 03/23/2023.

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