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Nexteer & United Way Present Paint A Brighter Tomorrow: A Family Community Color 5K
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Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue".
Race
First Name
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Last Name
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Age of participant as of 9/23/17
Email
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Phone
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Street Address
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City
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State
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- select State/Province -
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Postal Code
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Emergency Contact Name
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Emergency Contact Phone
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Event Fee(s)
Tickets
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Adult
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$ 25.00
Child
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$ 0.00
Child tickets are 5 years old and under.
T-shirts
- select T-shirts -
Youth Small - $ 0.00
Youth Medium - $ 0.00
Youth Large - $ 0.00
Adult Small - $ 0.00
Adult Medium - $ 0.00
Adult Large - $ 0.00
Adult XL - $ 0.00
Adult 2XL - $ 0.00
Adult 3XL - $ 2.00
Adult 4XL - $ 2.00
Adult 5XL - $ 2.00
Total for this participant
Emergency Waiver
Nexteer Automotive Corporation and United Way of Saginaw County’s “Paint A Brighter tomorrow: A Family Community Color 5k”
Waiver and Release of Liability
In participating in Nexteer Automotive Corporation (“Nexteer”) and United Way of Saginaw County’s “Paint A Brighter Tomorrow: A Family Community Color 5k”, I agree to assume all risks inherent in participation in such event, whether they are apparent to me or not. I certify that I am in good physical health and fit to participate. Nevertheless, I acknowledge that participation carries an inherent risk of injury to my person and damage to my property. I hereby waive and release, for myself and for my heirs and assigns, any and all claims, causes of action, or liabilities which may hereafter accrue against Nexteer and/or United Way of Saginaw County and their affiliates, agents, employees, volunteers, officers, directors, successors and assigns, Buena Vista Township, Saginaw County Parks and Recreation, and all sponsors, their representatives and successors, that may arise as a result of my participation in Nexteer and/or United Way of Saginaw County’s “Paint a Brighter Tomorrow: A Family Community Color 5k”, including any and all claims for personal injuries caused by Nexteer and/or United Way of Saginaw County’s negligence.
Further, I hereby grant full permission to Nexteer and United Way, and their affiliates, agents, employees, volunteers, officers, directors, successors and assigns, Buena Vista Township, Saginaw County Parks and Recreation, and all sponsors to use any photographs, motion pictures, recordings, or any other record of these events which includes my image and/or likeness for any purpose, without monetary payment to me.
If participant is a minor:
As the parent/legal guardian of the above-named participant, I hereby waive and release on behalf of my child, any and all claims, and causes of action, or liabilities which may hereafter accrue against Nexteer and/or United Way of Saginaw County and its affiliates, their agents, employees, volunteers, officers, directors, successors and assigns, Buena Vista Township, Saginaw County Parks and Recreation, and any and all sponsors, their representatives and successors, by reason of my child’s participation in “Paint A Brighter Tomorrow: A Family Community Color 5k”, including any and all claims for personal injuries caused by Nexteer and/or United Way of Saginaw County’s negligence. In addition, I accept full responsibility for the care and supervision of my child during the above-described event.
I UNDERSTAND THAT THIS IS A LEGAL DOCUMENT. I HAVE READ AND UNDERSTOOD THIS RELEASE AND I UNDERSTAND ALL ITS TERMS. I EXECUTE IT VOLUNTARILY AND WITH FULL KNOWLEDGE OF ITS MEANING AND SIGNIFICANCE.
I agree to the above waiver
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