Register For
2024 Good Samaritan Run 5K & 10K

Registrant #1

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

Choose Your Event(s) *

Live Event
Saturday April 13, 2024

$35.00


Live Event
Saturday April 13, 2024

$40.00

Virtual Event
Saturday April 13, 2024 - Wednesday May 1, 2024

$35.00

Virtual Event
Saturday April 13, 2024 - Wednesday May 1, 2024

$40.00

Saturday April 13, 2024
Open to ages 3 - 12.

$0.00


Waiver

As a participant in the Good Samaritan Run/Walk 5K & 10K for Christian Health Service of Syracuse, INC., I, for myself, my executor, administrators, heirs, devises and assigns do hereby discharge Christian Health Service of Syracuse, INC., the event site, their management, their officers, board members, employees, members, sponsors, volunteers, organizers or their representatives, or their successors and all cooperating businesses and organizations from all claims of damages, demands, actions, illnesses, death and causes whatsoever in any matter arising from or growing out of my participation or that of my child in the event.

The 5K & 10K participant agrees to indemnify Christian Health Service of Syracuse, INC., for all fines, fees and expenses incurred as a result of the breach of any contractual obligations of the Good Samaritan Run/Walk 5K & 10K Participant.

I attest and verify that I am, or my child (under 18,) is medically able to participate and assume all risks of participation in this event. I understand that I may be photographed, filmed or videotaped at the event. I hereby irrevocably grant to Christian Health Service of Syracuse, INC., its affiliates, licensees and collaborators the absolute right and permission to use my likeness and/or voice for any purpose whatsoever, including commercial advertising.

I state that I am physically fit and able to walk/run in the Good Samaritan Run/Walk 5K & 10K and I have trained sufficiently for this event. I also give my full permission for such first aid as deemed necessary to be provided to me or my child on the premises or prior to transport to a hospital for further treatment.

If I am under the age of 18, or disabled, my parent(s) or guardian have consented to my participation at the Good Samaritan Run/Walk 5K & 10K. When I am on the premises of Christian Health Service of Syracuse, INC. or at a Christian Health Service of Syracuse, INC. sponsored event, my parents have given their consent for me to participate in the Good Samaritan 5k Run/Walk and have agreed to all of the 5K & 10K Participant Donation and Solicitation Agreement Terms and Conditions on my behalf.
I understand that the registration fee is a non-refundable gift to Christian Health Service of Syracuse, INC. in case of withdrawal on my part or cancellation due to inclement weather or virus, ie. Covid-19.




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