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Pumpkin Run form

First Annual Pumpkin Run 5K -- Saturday, October 26, 2019

Kennekuk County Park, 22296 Henning Road, Danville, IL

To support the Lakeview College of Nursing Developing Honor Society

Registration will begin at 10:00 AM

Sign up before October 11th to receive a t-shirt

Schedule:
Shirt size:

Waiver information: I know that walking/running is a potentially hazardous activity. I should not enter and walk/run unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I hereby certify that I am in good health and I have trained to walk/run the distance of the race, which I am entering. I assume all risks associated with walking/running in this event including, but not limited to: falls, contact with other participants, the effects of weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry into this running race, I, for myself and anyone entitled to act on my behalf, waive and release the Lakeview College of Nursing, its officers, directors, agents, volunteers and employees, all states, cities, countries or other governmental bodies or locations in which events or segments of events are held, all sponsors, their representatives and successors, from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose. I understand that bicycles, skateboards, roller skates or inline skates and animals are not allowed in the event and I will abide by this guideline. I am aware that Lakeview College of Nursing strongly discourages the use of personal audio devices, I authorize any healthcare provider to release any and all information pertaining to my healthcare, medical condition and medical treatment as a result of my participation in this Lakeview College of Nursing event to the Lakeview College of Nursing and its staff.

Registration fee: $35 for adults, $20 for children less than 10. Kids in strollers are free!

Make checks payable to Lakeview College of Nursing, 903 North Logan Avenue, Danville, IL 61832
Or pay online by clicking Pay Here in the blue banner at the top of this page.

Please complete a registration form for each participant.

Questions? Email Bonnie at bcoburn@lakeviewcol.edu