Brian Diemer Family of Races Online Registration

Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your RunSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event(s) *

$30.00 + $3.15 SignUp Fee

(Group Pricing)

5K Handcycle

$30.00 + $3.15 SignUp Fee

(Group Pricing)

Kid’s Run

$10.00 + $1.95 SignUp Fee

(Group Pricing)

The Brian Diemer Family of Races Virtual 5k

$30.00 + $3.15 SignUp Fee

(Group Pricing)

Would you like to join or create a Team?

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Waiver

I know that running a race is a hazardous activity. I should not run
unless I am medically able and properly trained. I agree to abide by all
race official decisions relative to my ability to safely complete the
run. I assume all risks associated with running in this event including
but not limited to falls, contact with other participants, weather,
including high heat and/or humidity, traffic and the conditions of the
road, all such risks being known and appreciated by me. Having read this
waiver and knowing these facts and in consideration of your accepting
this entry form, I, for myself, my heirs, and personal representative
waive all rights and release The Brian Diemer Family of Races, Inc., race directors
, race staff, Brian Diemer, all race sponsors, their agents, representatives,
successors and assigns from any and all liability for injuries or
damages suffered by me arising out of traveling to, participating in or
returning from the race. I grant permission to the Brian Diemer
Family of Races to use any photographs, motion pictures or any record of this
event for any purpose. Race directors reserve the right to cancel the
event in case of severe weather or unsafe conditions due to Covid-19. No refunds.

By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them, and agree to the Privacy Policy.

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Brian Diemer Family of Races

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Social Team Pricing

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Registrant #1

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Would you like to join or create a Team?

Waiver

Corporate Team Div 1 Pricing

Corporate Team Div 2 Pricing

Social Team Pricing

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