Online Registration

“WE CAN DO IT” WOMEN’S
5K RUN / WALK / ROLL


Sunday June, 7th, 2009 9A.M.

Online Registration Closed

    

All Proceeds Go To The Women's Center of Lansing

Begins and ends at the Meridian Township Pavilion

Registration fee is $25

With registration you get a shirt and a goodie bag so we'll need your shirt size when you register.

Runners younger than 18 must have parental consent to race. Parents can sign forms when they pick up their race packets.

Pre-race day packet pick-up: Saturday, June 6.

  Additional Race Information @ official event website www.womenscenterofgreaterlansing.org

    
   

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 $2.00 will be added to the registration fee.

             
               
WE CAN DO IT 5K

                       Name:


                   Address:


                          City:


                        State:


                            Zip:


                       Phone:


                     E-Mail:


  Age On Race Day:


                    Gender:  


             T-Shirt Size:   (Participants that sign up by May 23 are guaranteed a race shirt)

Waiver of Participation

ADULT AUTHORIZATION FOR EMERGENCY & ROUTINE MEDICAL TREATMENT AND RELEASE OF LIABILITY, give my permission to Women’s Center of Lansing, it’s 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 the Women’s Center of Lansing. Further, in consideration of the Women’s Center of Lansing making this available to me, I, for myself, and anyone claiming under or through me, hereby release and discharge the Women’s Center 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, hereby consent to being photographed/videotaped while participating in any activity offered by the Women’s Center of Lansing. In addition, I consent to the reproduction and use of any such photographs and videotapes by the Women’s Center 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:  


                 Signature:            

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

 

Online Registration Closed

   
Online Payments
   
          
   

Acceptance Mark
 

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