5K Course Marshal 7
Saturday, September 21, 2013 (07:00 AM - 11:00 AM)

* Required fields

* First Name:
* Last Name:
* Address:
* City:
* State:
or * Province:
* Zip/Postal Code:
* Country:
* Gender	Female Male
* Date of Birth:
* Email :
* Home Phone:
Work Phone:
*T-shirt Size:
Company or Group Name:
Comment (eg: who you'd like to work with, or, list second volunteer choice):

PLEASE READ AND AGREE TO WAIVER
In consideration of the opportunity to volunteer for this event, I, for myself, my heirs, executors and administrators, waive and release any and all rights, claims, and causes of action I have or may have against St. Luke's Health System and its affiliates, their agents, employees, officers, directors, successors, and assigns, and any and all sponsors, their representatives, and successors and agree to hold each and all harmless from any action that may arise as a result of my participation or volunteer involvement in the 2013 FitOne events, any related pre-event and post-event activities. Further, I hereby grant full permission to the use of any photographs, images, motion pictures, recordings, or any other record of or involving me in this event for any purpose, including commercial advertising. I also understand that the 2013 FitOne events are NOT latex or peanut free environments.

INFO FOR PARENT/GUARDIAN COMPLETING THIS REGISTRATION
Registration for minors must be completed by a Parent or Legal Guardian. If your age on race day is less than 18 years old, please fill in the Parent/Guardian Contact Information below. Providing such information and continuing this process indicates that this registration was completed by the person listed below.
Parent/Guardian Name:
Contact Phone:
Contact Relationship:

*Agree to waiver:	I agree I do not agree