10th Annual Ima's Home 5K & Kids 1K Copy

10th Annual Ima's Home 5K & Kids 1K

00:00

Until your session expires

Your Details

Individual

Business/Organization

Business/Organization*

First Name*

Last Name*

Email*

Phone number*

Ext.

Work Mobile Home

Address Line 1*

Address Line 2

City*

State/Province*

Postal Code*

Country*

Make this activity anonymous This option will hide your name from the activity feed; However, the organization will still receive your information.

Message of Support (Will be displayed on public site)

Select Fundraiser*

Additional Information For Your Volunteer Position(s)

1 X Volunteer

Guardian Information (if volunteer is 18 or under)

Required

Characters Remaining: 2000

Event

Required

1K Mile Walk/Run

Shirt Size

Required

Volunteer Assignments

Required

Mile Marker Attendants

Water Station

Set Up/Tear Down Team

Parking Team

1K Activities Team

In case of emergency please contact (name & phone):

Required

Characters Remaining: 500

Read and Sign Waiver

I hereby certify the following: I am physically fit and have medical clearance to participate in the Ima’s Home 5K or 1K Run/Walk. If I do participate, I, on behalf of myself, my heirs and assigns, and my estate, hereby waive and forever discharge the sponsors, organizers, affiliates, as well as their agents and employees, from any and all claims that may occur as a result of my participation.

I am over 18 or the legal guardian of the participant above and I accept the terms of the waiver.

Type your name to sign:*

Birth Date:*

Month

Day

Year

IP: 44.200.145.223
Jun. 05, 2023

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Your Details

Additional Information For Your Volunteer Position(s)

1 X Volunteer

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