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2026 Miles2Moms Run/Walk Registration

IMPORTANT: All individuals 13+ must register individually with their own form and waiver signature. Children under 13 require guardian registration.

How many children (12 and under) will participate with you? (Note: Each person 13+ needs their own registration form.)

Emergency Contact

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Miles2Moms Participant Agreement, Waiver & Release


In consideration of being allowed to participate in any way in Miles2Moms, I, the signed Participant, appreciate and agree that:


1. The risk of injury from the activities involved is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury or death does exist: and,


2. I knowingly and freely assume all such risk, both known and unknown, and assume full responsibility for participation and the option to attain individual participant accident medical insurance coverage only with additional registration and fees; and,


3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself and bring such to the attention of the nearest official immediately; and,


4. I, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, defend, indemnify and hold harmless Conscious Moms, its officers, officials, agents, and/or employees, other participants, sponsors, and owners and lessors of the premises used to conduct the events, from and against any and all claims, demands, expenses, losses and liabilities of any nature whatsoever caused or contributed to participation with respect to any and all injury, disability, death or loss or damage to person or property; and,


5. I, in signing, am not relying upon any oral or written representation other than what is set forth in this agreement, waiver and release.


6. I have read and understand this agreement and I am aware that by signing it I am waiving certain legal rights, including the right to sue. In the event that a claim is brought against the other, the defendant is entitled to recover all reasonable attorney's fees incurred against such claim.


Registrant under 18?
Yes
No
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© 2026 Conscious Moms

Conscious Moms is a tax-exempt 501(c)(3) nonprofit organization in the United States. All donations are tax-deductible as allowed by law.

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