Rehab Run 5k Registration Form
Iowa City, Iowa
Sunday, April 21, 2013 2:00 PM (Central Daylight Time)
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Contact:University of Iowa Center for Student involvement and leadership
Email:Click here to email the Administrator
Location Information
The race will be held at Iowa City Upper City Park. The race begins at pavilion #1. Parking is available near pavilion #1 or at Hancher Auditorium. Check-in for race 1:30 p.m.
City Park Rehab Run
The Rehab Run 5K is a unique race in that it welcomes runners, walkers, as well as participants in wheel chairs. Race profits will benefit the University of Northern Iowa Adapted Sports Camp. There will be chances to win gift certificates to Running Wild or RoadID just for registering; must be present at event to win door prize. Individuals with disabilities are encouraged to attend all University of Iowa sponsored events. If you are a person with a disability who requires an accommodation in order to participate in this event, please contact Corey (507-402-1838) or Jordan (319-415-7655) in advance.
Who are you registering?
Will you want a T-shirt?*
The University of Iowa Waiver and Release
I understand that running or walking is strenuous and a potentially hazardous activity. I understand that I should not participate in the Rehab Run 5K Race, sponsored by the Physical Therapy Student Organization, to be held on April 21, 2013 unless I am in good health and I am properly trained to participate in this event. Knowing this, I certify that to the best of my knowledge I am in excellent physical condition and have no medical condition that could worsen by participating in this event. I am fully aware and assume all risks associated with participating in this event, including, but not limited to falls; contact with other participants, animals, or strollers; exacerbation of personal medical conditions; dehydration; fatigue; bodily injury including sprains, cramps, strains, blood pressure or cardiac abnormalities; effects of weather including extreme temperatures, humidity, wind, rain, or snow; the possible presence of vehicular traffic on the race course, and property loss or damage. Having read this waiver and knowing the above facts and in consideration of you accepting my entry, I, for myself and anyone entitled to act on my behalf, agree to hold harmless, and do hereby waive and release The University of Iowa; Board of Regents, State of Iowa; the State of Iowa; and each of their respective employees, agents and representatives; race coordinators; race officials; sponsors; and volunteers (Releasees) from any and all claims or liability for injury, including death, whether caused in whole or in part by my fault or negligence, the fault or negligence of the Releasees or the fault or negligence of any third party. This waiver extends to all claims of any kind or nature, whether foreseen or unforeseen, known or unknown.
Under 18
If you are under the age of 18. Please print off the waiver, and bring to race with the signature of a parent or guardian.
I understand and agree to the waiver and release*