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.
Please enter your information into the fields below.
Required fields are marked with *.
Alternate Job Preferences
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.
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:
- I have read, have understood, and do accept the agreement above.
- I understand that this is a legal document with effects that I approve and authorize.
- The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
- I am authorized to agree to the terms of this document on behalf of the registrant.
- If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.
You are encouraged to keep a copy of this agreement for your records.
This agreement was generated at 11:01:51 AM EDT on 6/2/2023.
Click here to print the agreement.