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Around the Park for Autism 5K

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Jackson, MI US 49203

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Registrant #1

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The information for this user will be changed as shown in the form below.

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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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Parent/Guardian First Name *

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Additional Information

Date of Birth *

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Used for age group calculations

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Choose Your Event(s) *

Around the Park for Autism 5K Run $20.00 + $2.50 SignUp Fee ? — Team Pricing May Apply ? (Group Pricing)
Around the Park for Autism 5K Walk $20.00 + $2.50 SignUp Fee ? — Team Pricing May Apply ? (Group Pricing)

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Multi-Person Pricing

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Waiver

In consideration of you accepting this entry, I, the participant, intending to be legally bound and hereby waive or release any and all right and claims for damages or injuries that I may have against the Event Director, RunSignup.com, and all of their agents assisting with the event, sponsors and their representatives 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 also authorize the use of photographs or videos that include my image for promotional, informational, or other reasons deemed to be in the best interest of the event.

I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that my physical condition has been verified by a licensed Medical Doctor. 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 waiver.

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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.

This is a service fee for processing your race application.

Team Pricing

Around the Park for Autism 5K Run Member Pricing
$15.00

Around the Park for Autism 5K Walk Member Pricing
$15.00

You have selected to edit the information for . By doing so, information for other races or events you have registered for may be updated as well. You should only use this option to update information about , such as a typo in their name or an address change. If you are trying to register someone else like a spouse, child, or friend, you should NOT use this option.

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