Register For
PartnerRe Women's 5k Run and 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.

Have An Account?

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) *

$5.00 Event Fee + $3.00 SignUp Fee
Open to ages 7 - 14.
$35.00 Event Fee + $4.13 SignUp Fee

($5: Ages 10 - 14)

Open to ages 10+.
$35.00 Event Fee + $4.13 SignUp Fee

($5: Ages 10 - 14)

Open to ages 10+.
$30.00 Event Fee + $3.75 SignUp Fee

($5: Ages 0 - 14)

Would you like to join the following club: Mid Atlantic Athletic Club?

As a club member, you will receive a $5.00 discount on event fees.

Waiver

To the fullest extent permitted by law, I hereby forever release, waive, covenant not to sue, exonerate, discharge and agree to hold
harmless PartnerRe Ltd., the race organizers, volunteers, sponsors and each and every respective affiliate, agent and representative of
such persons (the “Released Parties”) of the above captioned event (the “Event’) from any and all liability, claims, demands, and causes
of action whatsoever that I may have against the Released Parties with respect to any injury, illness, death, property damage or other
loss that may result, directly or indirectly, from my participation in the Event.
All photographs, video or any images taken by the event organizers of me or that include my image are the property of PartnerRe and may
be used without my further permission or compensation in all manners that the Event organizers deem appropriate and I hereby consent
to that use.
If I am or will be applying for my child to participate in, or be a volunteer at, the Event, I represent and warrant that I am the parent or legal
guardian of the child and, as such, consent to my child’s participation in the Event and I agree that the terms of this Waiver, Release, and
Consent apply equally to my child and me and any claims I or my child may have in connection with the Event.




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