Online Registration

Silver Bells Fun Run

Online Registration Is Now Closed

November 16th, 2012 5:00 PM

 

Location: Capitol. Lansing, MI
Registration limited to 1,000 participants

13 and over $25.00
12 and under with shirt $10.00
12 and under with no shirt $Free

2.5 fun run/ costumes encouraged.
Race to take place before Silver Bells Parade

Proceeds go to Chris Holman Foundation and City of Lansing/Silver Bells

Packet Pick up Playmakers on November 16th from noon to 3pm at Playmakers and starts at 4pm onsite

Silver Bells official website www.silverbellsinthecity.org

Course closes at 5:50 p.m. in order for the parade to start on time.

    
   

Please Enter Participants Information and click below to proceed to a secure credit card processing page. To register more than one participant select the "Add Additional Registration" option after submitting each registration or just click on the "Back Button" in Your Browser to return to this page.

Please notify garydsmith@runwalkjog.com if you experience problems with online registration. For online registration a processing fee of $1.75 will be added to the registration fee for adults and $1.00 for children 12 and under.

             
               
Silver Bells Fun Run

                       Name:


                   Address:


                          City:


                        State:


                            Zip:


                       Phone:


                     E-Mail:


                           Age:

         Age Category:

                   Gender:  


             T-Shirt Size:  

Where did you hear about event:


Waiver of Participation

ADULT AUTHORIZATION FOR EMERGENCY & ROUTINE MEDICAL TREATMENT AND RELEASE OF LIABILITY

I, give my permission to City of Lansing, itís volunteers, employees, and representatives, to obtain or provide such emergency or routine medical treatment for me as they, in the exercise of their discretion, deem necessary or appropriate while I participate in any activity offered by City of Lansing. Further, in consideration of city of Lansing making this available to me, I, for myself, and anyone claiming under or through me, hereby release and discharge city of Lansing, its employees, representatives and volunteers from all liability, claims, demands, and actions, regardless of kind of character, connected with, arising out of, or in any way participation in such activity.

ADULT CONSENT TO PHOTOGRAPH/VIDEOTAPE & DISSEMINATE WITHOUT COMPENSATION I, hereby consent to being photographed/videotaped while participating in any activity offered by City of Lansing. In addition, I consent to the reproduction and use of any such photographs and videotapes by City of Lansing for educational, public relations and promotional purposes and I waive any claim by myself, or anyone claiming under or through me, for compensation of any kind in exchange for photographs, videotapes and use.


          Agree To Waiver:  


    Participant Signature:  

    Signature above must be signed by parent or guardian if under 18

 

Online Registration Is Now Closed

   
Online Payments
   
          
   

Acceptance Mark
 

For More Information Contact garydsmith@runwalkjog.com    Privacy Policy and Refund Information