Programs: lollipop run registration

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Step 1: Enter Your Information

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*Last Name:

*Gender:

*Date of Birth:

*

*:

*Address:

Address 2:

*City:

*State:

*ZIP:

*T-shirt size:

*Program:

If your daughter or family member is currently enrolled in a Girls on the Run program, please select the program in which she is a participant:
If you are a site liasion, please indicate:

Do you want to register additional runners?

Additional Registrant 1:

First Name:

Last Name:

Age:

T-shirt Size:


Additional Registrant 2:

First Name:

Last Name:

Age:

T-shirt Size:


Additional Registrant 3:

First Name:

Last Name:

Age:

T-shirt Size:


Additional Registrant 4:

First Name:

Last Name:

Age:

T-shirt Size:

Step 2: Event Participation/Release of Liability Waiver

I understand and agree that I am voluntarily participating in the Lollipop 5k Run through Girls on the Run of the Bay Area at my own risk and my own request. In consideration of my entry, I, intending to be legally bound for myself and anyone entitled to act in my behalf, do hereby fully and forever waive and release any and all rights to claims for injuries and damages, including, but not limited to demands or actions for negligence, premised liability, emotional injury, intentional conduct, resulting in unintended injury or damage tort claims, and any other actions or demands of whatsoever nature, to the fullest extent permitted by law, I have or may have against Girls on the Run of the Bay Area, Golden Gate Park, the City of San Francisco, volunteers, sponsors, contributors, vendors and organizers of the Lollipop 5K Run. I acknowledge that I am aware of the inherent risks involved in these events and I voluntarily assume these risks. I also give permission for the free use of my name, picture and/or voice in any broadcast, telecast, print account, advertising, promotion or any other account in any media of this event. I provide and certify my compliance and agreement by checking the "I accept" box below.

 

I accept

Payment Method:

 

 

 

 

 

  


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