{{ 'SHOW_CART' | translate }} >

{{total | currency:"$"}}

{{::eventInfo.eventName}}

{{eventInfo.startDateUnix | localeLongDate:currentLanguage : 'LLL' : eventInfo.eventTimeZone : true}}
{{::eventInfo.where}}

{{::eventInfo.description}}

{{ 'COUPON-APPLIED' | translate }}

{{ 'INVALID-SECONDARY-COUPON' | translate }}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'FIRST-NAME' | translate}}

{{ 'REQUIRED' | translate }}

{{ 'IDENT.NAME_CHARS_LONG' | translate}}

{{ 'LAST-NAME' | translate}}

{{ 'REQUIRED' | translate }}

{{ 'IDENT.NAME_CHARS_LONG' | translate}}

{{ 'BIRTH-DATE' | translate}}

{{ 'IDENT.RACE_AGE_BETWEEN' | translate:regOptionAgeTranslate }}

{{ 'IDENT.SERIES_RACE_AGE_ERROR' | translate }}

{{ 'REQUIRED' | translate }}

{{'REQUIRED_DATE_FORMAT' | translate:'{format: eventInfo.displayDateFormat}' }}

{{ 'GENDER' | translate}}

{{ 'REG-OPTION-GENDER-ERROR' | translate}}

{{ 'PRIMARY-PHONE' | translate}}

{{ 'PROVIDE-VALUE' | translate}}

{{ 'NOT-VALID-PHONE-NUMBER' | translate}}

{{ 'EMAIL' | translate}}

{{ 'EMAIL-CONFIRM' | translate}}

{{ 'PROVIDE-VALUE' | translate}}

{{ 'ENTER_VALID_EMAIL' | translate }}

{{ 'SAME-EMAIL' | translate}}

{{ 'PARTICIPANT-CONDITION' | translate}}

{{ 'ADDRESS' | translate }}

{{ 'COUNTRY' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'STREET' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'STREET_2' | translate}}

{{ 'POSTAL-CODE' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}} {{ 'VALID-ZIP' | translate}}

{{ 'CITY' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'STATE/REGION' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'EMERGENCY-CONTACT' | translate }}

{{ 'NAME' | translate}}

{{ 'REQUIRED' | translate }}

{{ 'RELATIONSHIP' | translate}}

{{ 'PHONE' | translate}}

{{ 'PROVIDE-VALUE' | translate}}

{{ 'NOT-VALID-PHONE-NUMBER' | translate}}

{{ 'CONTACT-CANNOT-BE-EVENT-P' | translate}}

{{ 'DATA-PRIVACY' | translate}}

{{ 'EMAILS-REGARDING-REG-NO-PARAM' | translate}}

{{ eventInfo.marketingConsentQuestionText}}

{{eventInfo.marketingEmailQuestionText}}

Consent to Participate in Event. I, _______________________, agree to participate in the Caitlyn’s HALO® 5k Event as a

volunteer/runner/spectator. Physical reactions to exercise may include heat-related illness, abnormal heartbeats and blood pressure and, in rare

instances, events such as heart attacks. While Caitlyn’s HALO takes all reasonable precautions, we can make no guarantees regarding these and

other risks. Recognizing the risks of the 5k event, and in consideration for allowing participation in the 5k event, I hereby release, discharge and

agree to hold harmless, and to indemnify each of the Caitlyn’s HALO council conducting the Caitlyn’s HALO program and their owners, directors,

affiliates, officers, contributors, sponsors, employees, contractors, agents and assigns against and from any and all causes of action, claims,

demands, damages, costs, loss of services, expenses, compensation, all consequential damages and attorneys’ fees (regardless whether

pursuant to the laws of any county, state or country) claimed by, through or on behalf of me related directly or indirectly to the 5k race, and

specifically including any and all claims for personal injuries sustained while participating in the 5k event without regard to negligence or negligent

conditions. Consent to Medical Treatment. In addition, I hereby authorize Caitlyn’s HALO, if after a reasonable attempt has been made to reach a

parent, guardian or emergency contact to obtain consent, or if sound medical practice decrees that there is not time to make such an attempt, to

consent to any x-ray examination, anesthetic, dental, medical or surgical diagnosis or treatment, and hospital care, to be rendered to me under

the general or special supervision and on the advice of any physician or surgeon who may treat me, and consent to any x-ray examination,

anesthetic, dental, medical or surgical diagnosis or treatment and hospital care, to be rendered to me by any health care professional who may

treat me. I agree to pay for any such treatment and to reimburse Caitlyn’s HALO for all costs and expenses it may incur related to such treatment.

Photo Release. I hereby grant Caitlyn’s HALO®, its Sponsors, and all assigns, licensees, successors in interest, legal representatives, employees,

consultants, and those acting with permission or authority of the aforementioned parties, the absolute, irrevocable and unrestricted right to use

photographs, videos likenesses and audio recordings (including without limitation all originals, negatives, prints and transparencies or any

duplicates or reproductions of the foregoing) that have been or will be taken of me (collectively, “Images”), in which I may be included with others,

to copyright the same, in the name of Caitlyn’s HALO or otherwise; to use, re-use, publish and republish the same in whole or in part, individually

or in conjunction with other photographs and videos, and in conjunction with any printed matter, in any and all media now and hereafter known,

and for any purpose whatsoever; and to use my name in connection herewith. I hereby release and agree to hold harmless Caitlyn’s HALO and

all aforementioned entities, from any damages or liability relating to or arising from any use of or modification, alteration, distortion or other change

to any of the Images and/or information gathered, unless it can be proven that such reproduction were maliciously caused, produced and published

for the sole purpose of subjecting me to conspicuous ridicule, scandal, reproach, scorn and indignity. I hereby waive any claims I may have

based on any usage of the Images, information gathered, or works derived thereof, including but not limited to claims for either invasion of privacy

or libel. Consent to Receive Gifts from Sponsors. I understand as a 5K participant, I may receive products or service offerings from sponsors of

Caitlyn’s HALO, and consent to their provision and receipt thereof. Release of Liability. I expressly agree that this consent is intended to be as

broad and inclusive a release of liability as permitted by applicable law and that if any provision thereof is held invalid, it is agreed that the remaining

provisions shall, notwithstanding, continue in full legal force and effect. 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 to volunteer/participate/spectate

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

have carefully read this consent and agree to its terms and conditions, that before signing this agreement I had the chance to ask questions; and

I am aware that by signing this consent, I assume all risks and waive and release certain mission. To the extent permitted by applicable law, I

hereby irrevocably and unconditionally waive trial by jury in any legal action or proceeding related to this agreement.

{{ 'MUST-AGREE' | translate}}

The mission of Caitlyn's HALO, Inc. is to Help Addicts and their Loved Ones understand, navigate and heal from the complexities and devastation of addiction. In doing so, our efforts focus on the premise that addiction is a brain disease, not a moral failure.​

{{ 'COUPON-APPLIED' | translate }}

{{ 'INVALID-COUPON' | translate }}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'CORRECT_ERRORS_FOR_ENTRY' | translate }}

{{ 'COMPLETE_REGISTRATION_FOR_ENTRIES' | translate}}

{{entry.name | translateIf:entry.translate}}

{{ 'EDIT' | translate }} (errors)

{{item.name | translateIf:item.translate}} :

{{item.price | currency:"$":currency.decimal}}
{{ 'SUBTOTAL' | translate}} : {{cart.subtotal | currency:"$":currency.decimal}}
{{customFee.description}} : {{customFee.price | currency:"$":currency.decimal}}
{{ 'PROCESSING_FEE' | translate }} : {{cart.fee | currency:"$":currency.decimal}}
{{!cart.hasLottery ? ('TOTAL'|translate) : ('TOTAL_CHARGE_AT_CHECKOUT'|translate)}} : {{cart.total | currency:"$": currency.decimal}}

{{item.name | translateIf:item.translate}} :

{{item.price | currency:"$":currency.decimal}}
{{ 'SUBTOTAL' | translate}} : {{cart.subtotalLottery | currency:"$": currency.decimal}}
{{customFee.description}} : {{customFee.price | currency:"$": currency.decimal}}
{{ 'PROCESSING_FEE' | translate }} : {{cart.lotteryFee | currency:"$":currency.decimal}}
{{ 'TOTAL_CHARGE_IF_SELECTED' | translate}} : {{cart.lotteryTotal | currency:"$": currency.decimal}}
{{ 'IF_SELECTED_CHECKOUT' | translate:cart}}

{{ 'PAYMENT-ERROR' | translate}}

{{paymentErrors.message}}

  • {{error}}
  • {{errValue}}
{{ 'NO-PAYMENT-REQUIRED' | translate }}
{{ 'MASTERPASS-TAGLINE' | translate }}

{{ 'MASTERPASS-HEADLINE' | translate }}

{{ 'MASTERPASS-DESCRIPTION' | translate }}


{{ 'OR' | translate }}

{{ 'NAME-ON-CARD' | translate }}

{{ 'REQUIRED' | translate }} {{ 'PAYMENT-NAME-MIN-LENGTH' | translate }}

{{ 'CARD-NUMBER' | translate }}
{{ 'EXPIRATION' | translate }}
{{ 'SECURITY-CODE' | translate }}
{{ 'POSTAL-CODE' | translate }}
{{ 'CARD-NUMBER' | translate }}
{{ 'EXPIRATION' | translate }}
{{ 'SECURITY-CODE' | translate }}
{{ 'POSTAL-CODE' | translate }}

{{ 'REQUIRED' | translate }}

{{ 'NAME-ON-CARD' | translate }}

{{ 'REQUIRED' | translate }} {{ 'PAYMENT-NAME-MIN-LENGTH' | translate }}

{{ 'CARD-NUMBER' | translate }}

{{ 'REQUIRED' | translate }} {{ 'INVALID-CREDIT-CARD-NUMBER' | translate }}

{{ 'EXPIRATION' | translate }}

{{ 'REQUIRED' | translate }} {{ 'INVALID-EXPIRATION-DATE' | translate }}

{{ 'SECURITY-CODE' | translate }} (CSC/CVC/CVV)

{{ 'REQUIRED' | translate }} {{ 'INVALID-SECURITY-CODE' | translate }}

{{ 'REQUIRED' | translate }}

{{ 'PAYMENT-INFORMATION-MESSAGE' | translate }}



{{crowdriseTeam.entryName}} Charity Event Fundraising on Crowdrise

{{crowdriseTeam.entryName}}: {{crowdriseTeam.msg}} (Crowdrise error)

The internet browser you are using to access this registration form is not supported. Please upgrade your browser or register on your mobile device.
Scan this QR Code with your mobile device to load the mobile registration form.
Event registration link