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KNIGHTS OF COLUMBUS
5K REGISTRATION (WITHOUT SHIRT): Knights of Columbus Pro Life 5k Walk/Run: October 21st, 2023. In Memory of Founder Dr. David J. Darr. Starting at 9am, at the Sandusky Sailing Club. By my signature, I attest that I am physically capable to participate in this event (KofC Pro Life 5k Walk/Run Event). I have full knowledge of risks involved. I further acknowledge that the event course may contain uneven surface conditions, including but not limited to potholes, curbs, and tree roots which may create a risk. I further acknowledge that at least part of the course is on public roads and that vehicular traffic may be encountered and I accept those risks. I understand that bicycles, skateboards, roller skates, in-line skates, animals and radio headsets are not allowed and I will abide by this guideline. I further acknowledge that weather conditions, including heat and humidity may be a risk which I accept. Therefore having read this waiver, and in consideration of the acceptance of my entry, I for myself, my heirs, my representatives, my executors and administrators, waive any and all rights and claims for damages I may have against the Knights of Columbus, Council 546, any event sponsors, the city of Sandusky and any individual associates with this event and agree to release and will hold them harmless for any and all injuries I may suffer in conjunction with this event. Questions: Please contact Steve Lasnoski at 419.357.0256 or smmalasnoski@aol.com
Email
Phone
Registrant Name
Gender
Age (day of event)
Parent/Guardian & Risk Acknowledgement E-Signature
Shipping Address
Address
Address
City
State or Territory
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American Samoa
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Northern Mariana Islands
Palau
Puerto Rico
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ZIP Code
Card Details
Cardholder Name
Credit Card Number
Expiration Date
CVV
Billing Address
Same as shipping address
Address
Address
City
State or Territory
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
District of Columbia
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
ZIP Code
Subtotal
$20.00
Cust Fee
$0.76
Total
$20.76
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