By completing the below information, I hereby agree to run/walk the 2019 GO! St. Louis race indicated above for Team Rally For Ron (R4R!). I am committing to personally guarantee the corresponding fundraising minimum indicated above for Team R4R!. If the fundraising minimum is not met by Friday, April 12, 2019. I am fully aware that my credit card will be charged the difference.
I also release all sponsors, heirs, executors and administrators from all responsibilities for any injury or damages that may occur to or from while running and attending the above activities. I verify that I am trained and in good physical condition for the race I (or child) have entered. Further, I hereby grant permission for the free use of my name and/or any photography, videotapes, motion pictures, recordings, or any other record of this event for any legitimate purpose.
In return, R4R! Will provide the following benefits:
Rally For Ron
If you prefer to provide payment information over the phone, please call Allison (847) 406-9864