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Race 4 Inclusion 4 Miler

April 15, 2018 9:00 AM PDT
Olympia, WA

The Ainsley’s Angels Race series benefits children and adult athletes with disabilities. 100% of all proceeds will go directly back to Ainsley’s Angels of America.

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Participant 1

First name

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Last name

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Birth date

Race age must be between and

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Gender

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Primary phone

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E-Mail

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If the participant is younger than 13, enter the guardian's email address.

Address

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Street 2

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Emergency Contact

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Relationship

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Privacy and Marketing

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Read and agree to the waiver to continue

WAIVER
By signing I acknowledge my understanding that my participation in any Ainsleys Angels of America event and/or any pre- or post-event activities (collectively, the “Event”) involves rigorous physical activity and that it potentially may be hazardous. I attest and verify that I am physically fit and have sufficiently trained for the Event and that, if appropriate, my physical fitness to participate in the Event has been verified by a licensed medical doctor. I expressly assume all known and unknown risks associated with the Event, including but not limited to: loss of or damage to my property; injury (including death); accidents; the effects of weather; and terrain conditions that may vary widely, and that may include uneven and/or slippery surfaces, spectators, participants, and natural and manmade obstacles (including without limitation, vehicles, security barriers, signs, cables, mats, and debris on the course). In consideration of my participation in the Event, I, for myself, my heirs, executors, administrators, personal representatives, successors and assigns, waive any and all rights, claims and causes of action I have or may have against any Race Organizer that may arise as a result of my participation in the Event. For these purposes, a “Race Organizer” is any one or more of the following: Ainsleys Angels of America and their affiliates; all governmental agencies representing the territory in which the Event will be held; all sponsors, agents, vendors, and contractors of or for the Event; medical service providers; and the officers, directors, employees, representatives, successors and assigns of each of the foregoing. I hereby agree to indemnify all Race Organizers for all claims and losses (including attorney’s fees and court costs), which may be brought against any one or more of them by anyone claiming to have been injured or otherwise to have suffered loss or damage as a result of my participation in the Event.
I further grant full permission to any and all of the foregoing to store, use and/or reproduce my image or likeness by any audio and/or visual recording technique (including electronic/digital) now in existence or hereafter invented, for any legitimate purpose, including commercial sales and marketing purposes. I understand and agree that information about me that is collected by the Race Organizers, including without limitation information on this form and my Event results may be disclosed to third parties for any legitimate purpose, including commercial sales and marketing purposes, and that it may be subject to re-disclosure by the recipient(s).
I authorize and understand a background check will be conducted on me as part of the approval process. I authorize the release my complete arrest record. I waive such legal rights that may arise and I do release all persons and law enforcement agency from liability in connection with furnishing of such information.
I acknowledge and agree to abide by any Official Rules for the Event that may be posted at the Event or on the Event’s website. I hereby represent and warrant that I am 18 years of age or older or, if applicable, that I am the parent or legal guardian of the child under the age of 18 years old who I am registering for the Event and that I have the full power and authority to agree to these terms on behalf of such child, and to bind him/her to these terms.  I hereby grant full permission to any of the foregoing to use photographs, films or recordings of the event for any legitimate purpose.

Select your t-shirt size.

Virtual participants do not receive a shirt.  You can purchase an additional one at the end of checkout. You must register prior to April 1st to be guaranteed a shirt.

Extra Shirt, Bondi Band, or Born an Angel

Shirt, book, bondi band.

Virtual & IR4 Runners

Rider Qs

If you have a promotional discount code, enter it here.

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Event Store

Would you like to make a Donation?

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Sponsor levels: (If you seek to become a sponsor please email us at Education@AinsleysAngels.org)

SMILE SPONSOR
-  $1000 or more: Logo on back of race shirts, promotional material in race bag, 2 free race entries, logo on banners and marketing material, social media recognition, company link on website

ANGEL SPONSOR
- $500 or more: Logo on back of race shirts, promotional material in race bag, 2 free race entries, logo on banners and marketing material, social media recognition

HALO SPONSOR
- $250 or more: Logo on back of race shirts, promotional material in race bag, social media recognition


Checkout Summary

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Subtotal : $0.00
Service fee : $0.00
Sales Tax : $0.00
Total : $0.00
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Service fee : $0.00
Total charge if selected : $0.00
* If selected for the lottery, the full amount due will be charged on your card on or about

Payment Information

No payment is required. Click 'Submit' to finalize your registration.
This charge will appear on your bank statement as (Event-Name)-CT or CHRONOTRACK and our business address in Louisville, CO.

You're Registered!

Your registration is complete. A charge of $0.00 from ChronoTrack Live will appear on your next credit card bill as (Event-Name)-CT or CHRONOTRACK and our business address in Louisville, CO.

A confirmation email from Chronotrack <support@chronotrack.com> has been sent to you with links and instructions for each participant to view and edit their registration.
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