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Runologie Track Club 5K Registration Form
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Price Schedule
Through
05/31/2024
Through
07/13/2024
Final
5k Run/Walk
$30
$35
Virtual Run
$10
Categories
*
5k Run/Walk
CLOSED
Kid's 400M Fun Run
Virtual Run
- $10.00
Relay
Community 4x400M (Team Leader)
Grab 3 of your friends and jump in the 4x400M to cap off the day!
Participant Information
Contact Email
*
Participant First Name
*
Participant Last Name
*
Participant Birthdate
*
- month -
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- year -
2024
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1919
Participant Gender
*
Identifies as Male
Identifies as Female
Non-Binary
Country
*
-- select country --
Canada
International
United States
Street Address (w/Apt#)
*
City
*
State
*
-- select state --
Alabama
Alaska
Arizona
Arkansas
California
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Connecticut
Delaware
District of Col.
Florida
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Hawaii
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Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Ohio
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-- select state --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-- select province --
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip Code
*
Phone
*
Would you like to
receive important event text alerts
on this number (eg. changes or delays)?
Emergency Contact Name
*
Emergency Phone
*
Affiliated Club, Team, or Organization
-- select your club or team --
- I am not a member of a team -
B^3
Boulder Underground
Bull City Track Club
ChicknLegs
ClubCardio - StepFit
cRUNk Run Club
It's a doozie!
Laboratory Run Club
Lucky Tree
Mangum Track Club
nOg
Pursuit of Excellence Track Club
PVTC
Raleigh Distance Project
Raleigh Galloway
Run 4 A Cozz Team
Run U Express
Run U Xpress
Runologie Track Club
Solephisticated Ladies
Team Pace of Me
Urban Run Club Raleigh
add new team
new team name
RTC 5K Unisex Shirts
$15
click to enlarge
Designed by Ruben Rodriguez, get yourself a fresh shirt to go along with the amazing medal of the Runologie Track Club 5K.
Show Product Options
XS
S
M
L
XL
2XL
Waiver
*
Please read this waiver carefully. It includes releases of liability and waiver of legal rights and deprive you of the ability to sue Runologie, LLC. Do not agree to these documents unless you have read and understood it in its entirety. By signing, you acknowledge that you have both read and understood all text presented to you as part of the registration process. You also understand and agree that events carry certain inherent dangers and risks, which may or may not be readily foreseeable, including without limitation personal injury, property damage or death. Your ability to participate in this event is subject to your agreement to the waiver and by agreeing herein, you accept and agree to the terms of the waiver and release agreement. Assumption of Risk, Release, and Indemnity Agreement Assumption of Risk: I understand that the activities in which I will engage at or near Runologie’s Store site at 1614 Automotive Way Raleigh, NC 27604, involve inherent and other risks. This location includes all running routes within the Raleigh area. I acknowledge that the activities are strenuous and dangerous and require a certain degree of physical condition, ability, maturity, and skill including the requirement that each participant MUST be over age 21, the legal drinking age. I acknowledge that I am solely responsible for determining my suitability to participate in the activities. I have the requisite skills, qualifications, physical and mental ability, and training necessary to properly and safely participate in the activities. I share responsibility for my safety and will follow instructions, make reasonable decisions, and act responsibly. The Owners, Manager, and Staff of Runologie LLC cannot ensure my safety and do not seek to eliminate all of the risks of the activities before each group run. I choose to voluntarily participate and observe the activities despite all risks. I assume all inherent and other risks and accept responsibility for any property damage and loss, and for any personal injury, illness, disability, emotional distress, and death that I may suffer, whether described above or not. In consideration of Runologie LLC providing services and facilities and allowing me to participate in or observe the activities, I agree to the following: Waiver and Release: I, agree to forever release and discharge Runologie LLC from and agree not to sue for any and all liability or claims I may have for any property damage and loss, personal injury, emotional distress, illness, disability, and death, related to my (or my child’s) participation in the activities. This release is for any type of claim, including breach of contract, fraud, or any other type of suit and includes personal injury and property losses alleged to be caused by the negligence of Runologie LLC to the fullest extent permitted by law but does not include claims for gross negligence. Indemnity: I agree to defend, indemnify (meaning to pay or reimburse any amount required to be paid, including attorneys fees) and hold Runologie LLC harmless from all claims, causes of action, liability, losses, or damages for any property damage, property loss or theft, personal injury, disability, death or other loss brought by or on behalf of me, a family member, my estate, another participant or spectator, or any other person arising from or relating to my participation in the activities, including claims that Runologie LLC was negligent. Additional Provisions: I agree that the substantive laws of North Carolina govern this Agreement and any dispute I have with Runologie LLC and consent to jurisdiction in North Carolina. Any mediation, suit, or proceeding will be entered into only in North Carolina. Any portion of this Agreement deemed unlawful or unenforceable is severable and shall be stricken without effect on the enforceability of the remaining provisions. I have read this agreement, I understand its contents and I sign it voluntarily. I intend by this agreement to assume all hazards and risks, waive all rights to sue and release all liabilities and claims, and indemnify Runologie LLC for any claims arising from my (or my child’s) participation in the activities. I understand that this agreement will expire after I depart from this event, but remains in effect at all times that I am (or my child is) observing or participating in the activities and activities thereafter and will be binding on me, my family members, my heirs, assigns, executors, representatives, and estate. I agree: I have carefully read, understand and agree to voluntarily sign this form by checking the box and completing the information below, and understand that by doing so I am entering into a legally binding contract with Runologie LLC. I acknowledge that this form shall be effective and legally binding upon me.
Read through the agreement.
I have read and agreed to the TERMS
*
Is the participant 18 or older?
*
18 or older
Under 18
Parent or Legal Guardian’s Signature - By providing your electronic signature you agree that you have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian.
If registering a child under 18, you are consenting to the collection of the child's information that you are providing for the purposes of registration.
Parent's signature
Payment Details
Discount or Tracking Code
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Do not COPY & PASTE the code, please type it into this field.
Price
$
Discount (-)
$
Total
no handling
$
Handling
$
Total Owed
$
Payment Method
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Payable To:
Address:
click the "submit" button to submit your order then send a check to (or pay in person at) the address above.
1. Venmo the total amount to the Phone #:
2. Make sure you enter the code,
58844
in "What's it for".
3. Click the "pay now" button.
Enter a Check Number
Enter a Check Amount
Send email receipt to the participant
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