Molly's Miles Online Registration

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Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your BikeSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

2 Pack Special Available until 10/20!

5k Run/Walk

$35.00 + $3.75 SignUp Fee

(Group Pricing)

To register for the 2 Pack special get 2 5K registrations for $40. Select this option in Multi-Person Pricing drop down below.

2 Pack Special Available until 10/20!

10k Run/Walk

$40.00 + $3.75 SignUp Fee

(Group Pricing)

To register for the 2 Pack special get 2 10K registrations for $40. Select this option in Multi-Person Pricing drop down below.

Virtual Run

$25.00 + $3.25 SignUp Fee

(Group Pricing)

Includes Virtual Race & Finisher Medal.

5K Team Competition

First Responder Challenge

$35.00 + $3.75 SignUp Fee

(Group Pricing)

This option is limited to members of a First Responder Department.

Multi-Person Pricing

Waiver

Waiver of Liability: In consideration of your accepting this entry, I, the undersigned, intending to be legally bound, hereby, for myself, my heirs, executers and administrators, waive and release any and all claims for damages, demands, actions and causes of actions against Molly's Miles, Landmark Bank, Big River Running Company, LLC, Big River Race Management, LLC, Boone Hospital, their affiliates, subsidiaries, officials, representatives, employees, successors and assigns for any and all injuries suffered by me in this event. I attest and verify that I am physically fit and have sufficiently trained for the competition of this run. Further, I hereby grant full permission for the free use of my name and/or any photographs, videotapes, motion pictures, recordings, or any other record of this event for any legitimate purpose.

By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them, and agree to the Privacy Policy.

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Molly's Miles

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Waiver

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