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Spurthi - A Race to Inspire 5K Walk/Run

Saturday, May 4, 2024 at Veterans Memorial Park, 1645 23rd St, Bettendorf, IA 52722 in Bettendorf, IA

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




WAIVER

Parent/Guardian and runner know that participation in this activity is potentially hazardous.
Runner will not participate unless they are physically able and properly trained. I hereby agree to abide by the rules and regulations governing this activity and elect to participate at my own risk, and in consideration for being allowed to participate, do hereby release and discharge Spurthi and its affiliates from any and all liability (including death) that may be received by me (or my minor child) and from all claims and demands to personal property growing out of or resulting from my participation in the race except where the same is caused by willful misconduct of the foregoing. I further certify that my physical condition will enable me to participate in this event. I grant full permission to the sponsors, organizers and affiliates to use my (or my child's) name, photographs or any other record of participation in this event for picture in any broadcast, telecast, or any other written account of the event for publicity purpose, without compensation or remuneration.



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 3:44:09 PM EDT on 04/28/2024.