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{{ 'FIRST-NAME' | translate}}

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{{ 'LAST-NAME' | translate}}

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{{ 'IDENT.NAME_CHARS_LONG' | translate}}

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{{ 'IDENT.SERIES_RACE_AGE_ERROR' | translate }}

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{{ 'PARTICIPANT-CONDITION' | translate}}

WAIVER: In consideration of acceptance of this entry into Run For Your Life 5K Road Race, I the undersigned intending to be legally bound to hereby, for myself, my heirs, executors, and administrators, waive and release any and all rights and claims for damage I may have against the race director and officials, Super Race Systems, the Town of North Haven, Quinnipiac University, and any and all race sponsors and supporters, volunteers, their agents, successors, and assigns, for any and all injuries suffered by me in the event. I assume all risks with entering this event, including but not limited to falls, contact with other participants, effect of weather, including snow, traffic, and the condition of the road. All such risks being known and appreciated by me, I attest and verify that I am physically fit and sufficiently trained for the competition of this event and my physical condition has been verified by a licensed MD within the last six (6) months. I know that bicycles, in-line skates, and skateboards are not allowed on the course. Further, I hereby grant full permission to any and all the foregoing to use my photographs, videotapes, and likeness in promotion of the Run For Your Life Road Race.

{{ 'MUST-AGREE' | translate}}

{{ 'COUNTRY' | translate}}

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{{ 'CITY' | translate}}

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{{ '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}}

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

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

{{ 'SECURITY-CODE' | translate }}

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{{ 'REQUIRED' | translate }}

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



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

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