February 18, 2018

Registration Form

Individual Registrant

When registering below, please read the liability waiver at the bottom of this page, and agree to the terms. Your action to submit your registration indicates your agreement. Thank you for being part of our Event, and we look forward to seeing you! IF YOU HAVE QUESTIONS OR TROUBLE WITH ONLINE REGISTRATION PLEASE CALL JAN @ 507-838-7038 AND WE'LL WORK IT OUT! When you have completed this form, you will be taken to a Pay Pal screen where you can opt to use a Pay Pal account OR at the bottom of that screen it gives you the option to do a credit card payment instead. If you wish to pay by check, just close the payment screen at that time, and mail a check to Walk for One, PO Box 883, Faribault, MN 55021.
  • Need special notes on a t-shirt size or comment?
  • Price: $35.00
    We have been struggling with Pay Pal this year. If it rejects your credit card just tab through the boxes and click pay. If it still won't go through, please go back to the website of Walk For One and click donate, and pay that way. We will be able to match it up. Sorry for the inconvenience.
  • We are offering a "family price" for parents with children age of 15 and below. Each child will be added at a price of $10 and this will entitle them to a t-shirt and participation fee. If you wish to take advantage of this option, you can choose the number of children you wish to add at this time using the drop down box above. The price at the bottom of this page will automatically change to reflect the number of children added. Children age 15 and below may accompany a parent without paying the participation fee and will not be entitled to a t-shirt.
    If there isn't enough room to check the sizes you need, please feel free to type a note in the box above where it says notes to us.
  • Enter an additional amount that you would like to donate. When you have completed this registration click REGISTER NOW below and you will be taken to a payment page where you may pay via Pay Pal or click the option to Pay With Debit/Credit Card. You do not have to have a Pay Pal account to pay online. Thank you for your support and participation.
  • $0.00

 

 

WHEREAS, Participant has registered to take part in the Walk for One, Unite for All 5k  walk/fun run (hereinafter “the Event” or “Event”); and

WHEREAS, Participant warrants that (i) Participant is in sound medical condition; (ii) Participant understands that unique risks are involved in participating in the Event; (iii) Participant has the skill, knowledge, and experience to participate in the Event in a safe manner; and (iv) Participant is not under the influence of an alcoholic beverage or a controlled substance or any prescription or non-prescription drug which could impair Participants ability to safely participate in the Event; and

NOW, THEREFORE, in consideration of the recitals described above, the parties agree as follows:
AGREEMENT

1. By registering for “the Event” participant agrees to follow all rules and regulations prescribed by Walk for One, Unite for All, regarding safe participation in the Event.

2. Participant, and Participant’s heirs, personal representatives, successors and assigns, for and in consideration of the opportunity to participate in the Event and for other valuable consideration, releases and forever discharges Walk for One, Unite for All, 1st United Bank and United Faribault Foundation, District One Hospital/Allina Health  from any and all claims, demands, rights and causes of action of any kind whatsoever, known or unknown, which Participant now has or later may have in any way resulting from, or arising out of, my participation in the Event. This release extends to any and all claims Participant has or may have against the released parties, even if such claims result from strict liability or negligence on the part of any and all of the released parties. By signing or agreeing to this release, Participant certifies that Participant has read this release and fully understands it and that Participant is not relying upon any statements or representations of anyone released thereby.

3. Participant shall defend, indemnify and hold harmless Walk for One, Unite for All, 1st United Bank and United Faribault Foundation, District One Hospital/Allina Health  from and against any and all claims, damages, losses, or expenses including attorneys’ fees, which the Walk for One, Unite for All may suffer or for which Walk for One, Unite for All may be held liable with respect to Participant’s activities as authorized by Walk for One, Unite for All.