Annual Prostate Cancer Awareness 2024 WALK | RUN

Annual Prostate Cancer Awareness Walk | Run | Bike Registration 2024
Personal Information
Name*

First NameLast Name
Gender*

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Age*
Phone Number*

Area CodePhone Number
E-mail*
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Emergency Information
Emergency Contact's Name*

First NameLast Name
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Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.

Your Charitable donation to the Walk | Bike | Run

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By submitting this registration you accept the following:

WAIVER: Bicycling, Walking and Running on private and public roads is an inherently dangerous sport. Risks include, but are not limited to: Injury due to loose dirt , rocks, road imperfections, bicycle malfunction, encounters with automobile traffic, improper training/preparation, walking, and running included in all the peris listed above and others in etc.. In consideration these and all other risks, I waive any and all claims for myself and my and child, and my heirs against all sponsors, organizers, and associated entities, for injury or illness due directly or indirectly from my participation in the event. I agree to abide by all applicable laws and regulations. Helmets, and shoes are required to ride, and proper running, and walking gear is required to participate in the event.
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Annual Prostate Cancer Awareness Walk | Run | Bike Registration 2024