Register For
Virtual Kids Walk

Registrant #1

Who are you registering? *


By selecting this box, you are indicating that you are the parent/guardian of the person you are about to register. Additionally, if the child is under the age of 13, you are consenting to the collection and use of the information about the child for the purpose of the registration as described in our privacy policy.

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Basic Info

To be able to access / edit your registration.

Additional Information

Format: mm/dd/yyyy
Used for age group calculations
Format: ###-###-####

Address

Choose Your Event(s) *

Wednesday September 1, 2021 - Thursday September 30, 2021

$10.00 + $1.58 SignUp Fee

Wednesday September 1, 2021 - Thursday September 30, 2021

$0.00

Would you like to join or create a Team?


Waiver

In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right and claims for damages or injuries that I may have against Childhood Cancer Foundation of Southern California, Inc., the Event Director, RunSignUp.com, the City of Loma Linda, Loma Linda University and all of their agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.

I understand and agree that I am voluntarily participating in the Childhood Cancer Foundation of Southern California, Inc. Kids Walk at my own risk and my own request. I am in good health without any medical & physical restrictions. I will wear properly fitting footwear with good traction enabling me to walk safely on all surface conditions. I know that an outdoor active event is a potentially hazardous activity. I should not enter and walk unless I am medically able to do so and properly trained. I assume all risks associated with walking in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typical found in walking in a public event. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any event official relative to my ability to safely complete the run. I certify as a material condition to my being permitted to participate in this event that I am physically fit and sufficiently trained for the completion of this event and that a licensed Medical Doctor has verified my physical condition.

In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization.

By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver.

Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes.




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