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Attention... registration for this event closed on Saturday April 7th, 2018 - 6:00 pm (USCT).
Race Information
Race Name:Run, Walk, Roll for Rehab
Location:University Park
State:Illinois, United States
Posted:February 13th, 2018 7:19 am
Last Update:February 13th, 2018 7:35 am
Event Information
Name of Event:Run, Walk, Roll for Rehab
Distance:5.00
Measurement:Kilometers
Date:Sunday April 8th, 2018
Start Time:9:00 am
Special Instructions:
Race Day Registration Available 7:30 am to 8:30 am
Event Registration Schedule
Opened:Wednesday February 14th, 2018Start of Day
Deadline passed:Sunday April 1st, 201812:00 am $25.00
Deadline passed:Saturday April 7th, 20186:00 pm $25.00
Unless otherwise noted... Registration Dates & Times are based upon: U.S. Central Daylight Saving Time
 
Step 1 of 2 - Participant Registration
First Name
 
Last Name
Address 1
Address 2
City
State / Province

Use 2 digit code for US and Canada
otherwise, leave blank.
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Country (only if outside of the U.S. and Canada)

Leave blank if address is within US or Canada.
Zip / Postal Code
Primary Phone Number

Required... please provide your primary number.
Other Phone Number

Optional... provide an alternate phone number.
Email Address

Participant's active Email Address... check for accuracy.
Participant's Date of Birth
Sex
Gender: M for Male, F for Female.
Apparel Description
Race shirt included with registration fee
Size Selection

Waiver
By checking below, I do hereby release and discharge from liability the Governors State University and the GSU Physical Therapy Association, the producers, sponsors, co-sponsors, advertisers, organizers, volunteers and/or contractors of the event, and their representatives, successors and assigns (collectively “released parties”) for any and all injuries and ailments suffered by me in this event, or in the Desk 2 5k training program leading up to the event (including death), however incurred or sustained. By signing below, I attest and verify that I am physically fit and have sufficiently trained for the completion of this event. I attest, by signing below, that I have been medically cleared by a physician for participation in this 5k event, and the Desk 2 5k program. Further, by signing below, I grant full permission to any and all of the foregoing to use any photograph, video, recording or any other record of this event for any purpose in the future. I understand that my entry fee is nonrefundable, the bib number is non-transferable, and that, if lost, my bib number will not be replaced. If the event is canceled by the Governors State University Physical Therapy Association due to circumstances beyond its reasonable control, or as a result of governmental action, the Governors State University Physical Therapy Association, shall have no obligation to refund my entry fee or any other cost I may have incurred in connection with such Events. I HAVE READ THE FOREGOING AND INTENTIONALLY AND VOLUNTARILY SIGN THIS RELEASE AND WAIVER OF LIABILITY AGREEMENT, AND UNDERSTAND THAT I AM ASSUMING THE RISK OF, AND RELEASING AND HOLDING HARMLESS THE RELEASED PARTIES IN CONNECTION WITH MY PARTICIPATION IN THE EVENTS. IF PARTICIPANT IS UNDER AGE 18, HIS OR HER PARENT OR GUARDIAN MUST SIGN THIS RELEASE & WAIVER OF LIABILITY AGREEMENT. A Parent or Guardian’s signature below certifies that his or her child or ward has permission to participate in the Event(s). Parent or Guardian has read and understands the foregoing RELEASE & WAIVER OF LIABILITY AGREEMENT and by signing intentionally and voluntarily agrees to its terms and conditions. Parent or Guardian further certifies that his or her child or ward is in good physical condition and is able to safely participate in the Event(s). Parent or Guardian hereby authorizes medical treatment for his or her child or ward and grants access to his or her medical records as necessary and as stated above.
 Agree to waiver by checking here.
By agreeing to this waiver you submit to the terms and conditions as set forth by this event and certify that you have provided true and accurate information as requested through this registration process.

The registration deadline for this Event has passed... registration is no longer open.
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