DMACC 5K Walk/Run & Kids Fun Run

Saturday, September 28, 2024 at DMACC Ankeny Campus, 2006 S Ankeny Blvd, Parking Lot L2 in Ankeny, IA

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

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Release from Responsibility, Assumption of Risk and Waiver

I, either for myself or for and on behalf of my minor child:

• Desire to participate in the Des Moines Area Community College Alumni Association 5K Walk/Run.
• Exercise my own free choice to participate in the above designated activity.
• Understand and assume all associated risks.
• Agree to assume all risk of personal injury or loss, bodily injury (including death), damage to or loss or destructions of any personal property occurring in connection with or arising out of participation in the DMACC Alumni Association 5K Walk/Run.
• Hereby release and discharge, indemnify and hold harmless Des Moines Area Community College, the Des Moines Area Community College Foundation and Alumni Association and their members, officers, agents, employees and any other persons or entities acting on their behalf, and the successors and assigns for any and all of the aforementioned persons and entities, against all claims, demands, costs and expenses, and causes of action whatsoever, either in law or equity, arising out of or in any way connected with any loss and/or bodily injury and/or disability, arising from my participation in the Activity.
• Grant Des Moines Area Community College, in the event of an emergency, permission to authorize emergency medical treatment for the duration of my participation in this Activity. I understand that Des Moines Area Community College does not carry or provide health or accident insurance that responds to injury or illness as a result of my participation in this Activity.
• Authorize and give full consent to Des Moines Area Community College and the Des Moines Area Community College Foundation and Alumni Association to copyright or publish all photographs or slides in which I or, if applicable, my minor child, appear while a participant in this Activity.
• Further agree that Des Moines Area Community College or the Des Moines Area Community College Foundation or Alumni Association may transfer or use these photographs.
• Have had sufficient time to review and seek explanation of the provisions contained above, have carefully read them, understand them fully, and agree to be bound by them. After careful deliberation, I voluntarily give my consent and agree to this Release, Assumption of Risk and Waiver.

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 1:20:15 AM EDT on 05/02/2024.