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Second Annual 5K Run Registration

The Charles School at Ohio Dominican University 5K Run/Walk, May 1st 2010
Please fill out the form below to register for the 5K run/walk. Once you have completed this form please make a check payable to The Charles School at Ohio Dominican University and return all documents to the front desk or mail to:

The Charles School at Ohio Dominican University
attn: Julia Gebhart
1270 Brentnell Ave.
Columbus, OH 43219

Event Disclaimer

I agree that participation in this physical activity, or event (the “Event”) or the use of any event facility/premises, I do so at my own risk. I assume all risk of injury, illness, damage or loss to me or my property that might result, including without limitation, any loss or theft of personal property. I consent to medical treatment in the event of injury, accident, and/or illness during the Event. I agree on behalf of myself (and my personal representatives, heirs, executors, administrators, agents, and assigns) to release and discharge the organizers of the event, its principals, its officers and directors, its employees, all sponsors and their representatives and employees from any and all claims or causes of action (known or unknown) arising out of their negligence. I acknowledge that I have carefully read this Waiver and Release and fully understand that it is a release of liability. By my signature below, I am waiving any right that I may have to bring legal action to assert a claim against any and all Event sponsors for their negligence. I hereby grant full permission to any and all of the foregoing to use my name and likeness in any broadcast, telecast, video or print media reporting or advertising of the Event without compensation. Your browser may not support display of this image. I am 18 years or older and I have read, understood, and accepted the disclaimer Your browser may not support display of this image. I am the parent/guardian of the above participant and I have read, understood and accepted the disclaimer.

(If under 18, please list Parent/Guardian Name and Phone Number)

You will receive a t-shirt at 8AM check in, the day of the race.

  • $20 for general public
  • $10 for Current Charles School students, Graham School Students or Ohio Dominican Students

You can pay with cash or check. Please make checks payable to The Charles School and send them to the address listed above or bring them to the front desk of The Charles School. Thank you!