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Walk for POP Registration
Walk for POP Registration
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0.00
Adult Participants
(×$30.00)
Participant Name
2nd Participant Name
3rd Participant Name
4th Participant Name
5th Participant Name
Participant Email
2nd Participant Email
3rd Participant Email
4th Participant Email
5th Participant Email
Child Participants (12 and under)
(×$15.00)
Child's Name
2nd Child's Name
3rd Child's Name
4th Child's Name
5th Child's Name
“I can’t walk, I’m sleeping in!” Send your entry fee plus $5 and we’ll send you the tee shirt.
Donate
(+$35.00)
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2nd Participant Shirt Size
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3rd Participant Shirt Size
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4th Participant Shirt Size
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5th Participant Shirt Size
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Child Shirt Size (Adult Sizes Only)
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2nd Child Shirt Size (Adult Sizes Only)
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3rd Child Shirt Size (Adult Sizes Only)
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4th Child Shirt Size (Adult Sizes Only)
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5th Child Shirt Size (Adult Sizes Only)
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XXXL
Team/Family Name
Team/Family Captain Name
Team/Family Captain Email
Team/Family Captain Phone
Would you like to make an additional donation?
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Donation Amount
(×$1.00)
Event Waiver
PHOTOGRAPHIC RELEASE: I give my full consent and permission to Prostate On-Site Project, its local affiliates and races (as defined below), their sponsors and corporate sponsors, their successors, licensees, and assigns the irrevocable right to use, for any purpose whatsoever and without compensation, any photographs, videotapes, audiotapes, or other recordings of me that are made during the course of this event (the "Event"). WAIVER AND RELEASE OF CLAIMS: I understand that my consent to these provisions is given in consideration for being permitted to participate in this Event. I further understand that I may be removed from this Event if I do not follow all the rules of this Event. I am a voluntary participant in this Event, and in good physical condition. I KNOW THAT THIS EVENT IS A POTENTIALLY HAZARDOUS ACTIVITY AND I HEREBY VOLUNTARILY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR, AND THE RISK OF, ANY INJURY OR ACCIDENT THAT MAY OCCUR DURING MY PARTICIPATION IN THIS EVENT OR WHILE ON THE PREMISES OF THIS EVENT. I, FOR MYSELF, MY NEXT OF KIN, MY MINOR CHILDREN THAT ATTEND THE EVENT, MY HEIRS, ADMINISTRATORS, AND EXECUTORS, HEREBY RELEASE AND HOLD HARMLESS AND COVENANT NOT TO FILE SUIT AGAINST PROSTATE ON-SITE PROJECT, AND ALL OTHER PERSONS OR ENTITIES ASSOCIATED WITH THIS EVENT (COLLECTIVELY, THE "RELEASES") FOR ANY INJURY OR DAMAGES I MIGHT SUFFER IN CONNECTION WITH MY PARTICIPATION IN THIS EVENT OR WHILE ON THE PREMISES OF THIS EVENT. THIS RELEASE APPLIES TO ANY AND ALL LOSS, LIABILITY, OR CLAIMS I MAY HAVE ARISING OUT OF MY PARTICIPATION IN THIS EVENT, INCLUDING, BUT NOT LIMITED TO, PERSONAL INJURY OR DAMAGE SUFFERED BY ME OR OTHERS, WHETHER SUCH LOSSES, LIABILITIES, OR CLAIMS BE CAUSED BY FALLS, CONTACT WITH AND/OR THE ACTIONS OF OTHER PARTICIPANTS, CONTACT WITH FIXED OR NON-FIXED OBJECTS, CONTACT WITH ANIMALS, CONDITIONS OF THE PREMISES OF THE EVENT, NEGLIGENCE OF THE RELEASEES, RISKS NOT KNOWN TO ME OR NOT REASONABLY FORSEEABLE AT THIS TIME, OR OTHERWISE. This Photographic Release and Waiver and Release of Claims (collectively, the "Release") shall be construed under the laws of the state in which the Event is held. I understand that I have given up substantial rights be signing this Release, and have signed it freely and voluntarily without any inducement, assurance or guarantee being made to me and intend my signature to be a complete and unconditional release of liability to the greatest extent allowed by law.
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