Register for Steps for STEM 5K - Greater Omaha Chapter of AFCEA - Job: Photograph Participants Before-During-After 5K

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

Please enter your information into the fields below. Required fields are marked with *.

*First Name:
*Last Name:
*Gender:	Male Female
*Date of Birth:	January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924
Address:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware 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 Virginia Washington West Virginia Wisconsin Wyoming
Postal Code:
Primary Phone:
Secondary Phone:
*Email:
*Confirm Email:
Shirt Size:	None

Alternate Job Preferences

Alternate Job Preference #1:	Chalk-in Course Motivational Messages Check-in / Race Day Packet Pickup Course Break Down / Clean Up General Race / Area Preparation Gopher / Hand Carry Items Man Secure Item Check-in Pop-Up Tent Medal Distribution at Finish Line Medical Team Parking Assistant Post Sponsor Signs at Mile Markers Pre-Race Day Packet Pickup Prep Race Day Runner's Bags Water Distribution at Finish Line
Alternate Job Preference #2:	Chalk-in Course Motivational Messages Check-in / Race Day Packet Pickup Course Break Down / Clean Up General Race / Area Preparation Gopher / Hand Carry Items Man Secure Item Check-in Pop-Up Tent Medal Distribution at Finish Line Medical Team Parking Assistant Post Sponsor Signs at Mile Markers Pre-Race Day Packet Pickup Prep Race Day Runner's Bags Water Distribution at Finish Line

Registration Waiver

In consideration of my application being accepted, I accept any risks of participation in the run or walk and agree to hold harmless the Greater Omaha Chapter of AFCEA, AFCEA International, The City of Papillion, all sponsors, all officers, directors, and members of said organizations, their respective employees, agents, and any other individuals who are in any way associated with this event, including volunteers assisting with traffic on the course. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event. I also give my permission the free use of my name and picture in any written account, broadcast or telecast of this event for any legitimate purpose. I understand that if the race is cancelled because of any circumstances beyond the control of the race committee and sponsors including, but not limited to hazardous weather conditions or government ban, my entry fee will not be returned. In consideration of you accepting this entry, I, the participant, intending to be legally bound and hereby waive or release any and all right and claims for damages or injuries that I may have against the Event Director, GetMeRegistered.com, and all of their agents assisting with the event, sponsors and their representatives and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees. I also authorize the use of photographs or videos that include my image for promotional, informational, or other reasons deemed to be in the best interest of the event. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that my physical condition has been verified by a licensed Medical Doctor. By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above waiver.

* I fully understand and accept all conditions in this waiver.

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.

• *Signature:

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You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 7:11:14 PM EST on 12/26/2024.
Click here to print the agreement.