Please complete the registration form below to be considered as a volunteer for this event.
You will receive a confirmation email if you are assigned as a volunteer.
Registration Information
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Required fields are marked with *.
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Registration Waiver
In consideration of the acceptance of my entry, I for myself, my executors, administrators, and assigners, do hereby release and discharge Gilda’s Club Quad Cities, City of Coal Valley, The Rock, any sponsors, supporters, or volunteers, for all claims and damages, demands, actions whatsoever in any manner arising from participation in the Gilda’s Run 5K/1 Mile Run or Walk. I attest and verify that I have full knowledge of the risks involved in this event, am physically fit, and sufficiently trained to participate in this event. I acknowledge that all registrations are final.
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Please Sign Below
Your electronic signature is the online equivalent of your ink-on-paper signature,
and can be provided by typing your name where indicated.
The electronic signature will signify your understanding, acceptance, and authorization
to accept the conditions of this legal document, including the following statements:
You are encouraged to keep a copy of this agreement for your records.
This agreement was generated at 6:30:01 PM EDT on 6/2/2023.
Click here to print the agreement.