Rose Run 5K Registration Form
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First and last name of 5K participant *
How will you participate in the Rose Run 5K?
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I understand that to participate in the run, I must pay the $20 registration fee in the form of a donation to the Rose Run 5K GoFundMe page. I acknowledge that this fee allows me full access to the event. I also recognize that the proceeds from this fee and any other donation I might make to the GoFundMe page will be donated in full to the Tutu Project. *
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What is your adult t-shirt size?
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Waiver: I know that participating in the Rose Run 5K is a potentially hazardous activity and I should not enter and participate unless I am medically able and properly trained. I acknowledge and assume any and all risks associated with this event including, but not limited to, traffic on the course route, falls, contact with other participants, and the condition of the course, including, but not limited to, curbs, cars, uneven pavement, pot holes, rocks, and objects on the course surface. Knowing and appreciating these risks and in consideration of your acceptance of my entry, I hereby for myself, my heirs, representatives or anyone else claiming on my behalf, covenant not to sue, and waive, release, and discharge Rose Run, its volunteers, and sponsors, and anyone else acting for or on behalf the Rose Run 5K from any and all claims of liability for death, personal injury, or damage of any kind arising out of my participation in this run. This Acknowledgement of Risk and Waiver of Liability extends to all claims of every kind whatsoever. I also consent to emergency treatment in the event of injury or illness. I grant full permission for Rose Run 5K to use any photographs, recordings, or any other record of this event for any purpose. By clicking the box below, I acknowledge that I have read the above waiver and I agree and accept all terms and conditions set forth herein. *
Required
I acknowledge that if I register before September 15th, I will receive a Rose Run 5K T-shirt. I understand that if I register after this date, I will not receive a shirt on the day of the race. *
If you are participating virtually from your hometown, please include the mailing address where you would like to receive your shirt and race number. Please submit this information by October 1, 2021 to receive these materials before October 9.
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