Online / Reg

{{option.reg_closed_message}} {{ 'REG-OPEN-EARLY' | translate:option}} {{ 'REG-OPEN' | translate:option}} Early Registration for Life Time Members available on {{option.early_opening_date}}. Early Life Time Registration available. Enter your Life Time Fitness Membership ID to unlock this Early Registration. You can find this 9-digit # on the back of your Membership Card by the barcode. Life Time Membership ID:

No emails or URLs allowed

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Read and agree to the waiver to continue (NOTE: special section at conclusion regarding participation of a minor.)

I know that participation in the Miles & Memories 5K is a potentially hazardous activity and that I should not enter unless I am medically able and properly trained. I understand and appreciate all of the risks associated with this event - including but not limited to: falls, contact with other participants, effects of weather, traffic, and road conditions. Having read and understood this waiver, I hereby waive and release, for myself and for my heirs and assigns, any and all claims, causes of action, or liabilities which may hereafter accrue against Great River Health Systems, Two Rivers Financial Group, the City of West Burlington, their affiliates, agents, employees, volunteers, officers, directors, successors and assigns, and any and all sponsors, their representatives and successors, that may arise as a result of my participation in the Miles & Memories 5K, including any and all claims for personal injuries caused by negligence. In exchange for consideration received, I hereby give permission to Miles & Memories 5K run/walk to use my name and photographic likeness in all forms and media for advertising, trade, and any other lawful purposes.

This section to be read and signed by parent/legal guardian if Participant is a minor: As the parent/legal guardian of the above-named Participant, I hereby waive and release on behalf of my child, any and all claims, causes of action, or liabilities which may hereafter accrue against Great River Health Systems, Two Rivers Financial Group, the City of West Burlington, their affiliates, agents, employees, volunteers, officers, directors, successors and assigns, and any and all sponsors, their representatives and successors, by reason of my child’s participation in the Miles & Memories 5K, including any and all claims for personal injuries caused by negligence. In addition, I accept full responsibility for the care and supervision of my child during the above-described run.

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T-shirts guaranteed to participants who register by October 16th. (Unisex sizes). Size selection is final.

Include Your Loved One's Name on Back of Event Shirt - $125

$0.00 No, thanks. (Sold Out)

$125.00 Memorial Shirt Imprint (Sold Out)

Personalize Event Shirt Imprint: In Memory of _____________ (Type your loved ones name.)

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Miles & Memories Fleece Ear Band - $14

Click to view sample

No, thanks. (Sold Out)

Fleece Ear Band to My Order: $14 (Sold Out)

Would you like to purchase a Memorial Flag for the event?

Flags can be personalized with text only or with text and a photo and must be submitted no later than October 16th.

$0.00 No, thanks. (Sold Out)

$20.00 Flag & 13 & Up Entry Package: 6 Lines Text Only (Sold Out)

$20.00 Flag & 13 & Up Entry Package: 3 Lines Text & Photo (Sold Out)

Personalize Your Flag Text Only Option: up to 6 lines of text with up to 30 characters per line (all character options include spacing).

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Personalize Your Flag Text & Photograph: personalized with 3 lines of text with up to 30 character (all character options include spacing).

If you wish to have a photo printed on your flag please email a jpeg file to grmilesandmemories@gmail.com with the orders name and contact info. List any text below you'd like to include on your flag:

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Following the race, the flags will become your keepsake. (Please check box at bottom to indicate your acknowledgement.)

You may pick up your flag on November 3rd after the run/walk. Or you can pick up your flag at the Great River Hospice office (1306 S. Washington Road, West Burlington) starting Monday, Nov. 6th through the end of the month. The office is open 8 a.m. to 4:30 p.m. Monday through Friday.

Purchase a Memorial Flag

Flags can be personalized with text only or with text and a photo and must be submitted no later than October 16th.

$30.00 Flag With Stand: 6 Lines Text Only (Sold Out)

$30.00 Flag With Stand: 3 Lines Text & Photo (Sold Out)

Personalize Your Flag Text Only Option: up to 6 lines of text with up to 30 characters per line (all character options include spacing).

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Personalize Your Flag Text & Photograph: personalized with 3 lines of text with up to 30 characters (all character options include spacing).

{{'VALUE_SHORTER_THAN' | translate:'{char: "90"}' }}

Following the race, the flags will become your keepsake. (Please check box at bottom to indicate your acknowledgement.)

Would you like to purchase a Memorial Flag for the event?

Flags can be personalized with text only or with text and a photo and must be submitted no later than October 16th.

$0.00 No, thanks. (Sold Out)

$30.00 Flag with Stand: 6 Lines Text Only (Sold Out)

$30.00 Flag with Stand: 3 Lines Text & Photo (Sold Out)

Personalize Your Flag Text Only Option: up to 6 lines of text with up to 30 characters per line (all character options include spacing).

{{'VALUE_SHORTER_THAN' | translate:'{char: "180"}' }}

Personalize Your Flag Text & Photograph: personalized with 3 lines of text with up to 30 characters (all character options include spacing).

{{'VALUE_SHORTER_THAN' | translate:'{char: "90"}' }}

Following the race, the flags will become your keepsake. (Please check box at bottom to indicate your acknowledgement.)

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Click Here to Donate Now!

By clicking the Donate Now! link above you will be directed to the Great River Hospice PayPal page which will open in another window/tab. You will be able to make a donation with either a credit card or your PayPal account. After completing the donation on the PayPal page, you will then need to click back to the Online/Reg window/tab to complete your run/walk registration form.

Proceeds from the Miles & Memories 5K Run/Walk will benefit the Great River Hospice House and the Great River Hospice program. Fundraisers like this help offset insurance shortfalls and keep our program strong and growing.

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