2014 5k Registration Form

2014 5k Registration Form

PDF of 2014 5k Registration Form.

Illinois Innocence Project 5k Run/Walk for Innocence Adult Registration. Must present valid i-card. All race-day registrations will be $35.

Please enter the number of student registrations requested below. You will then be directed to the University of Illinois Foundation's secure Online Giving site for your personal and credit card information.

I would like to make a contribution to the Illinois Innocence Project for the following amount:

Children:       Number of Children: 
Student:       Number of Students: 
Adult:       Number of Adults: 

Total Amt:  

By completing this registration, you acknowledge that you have read the Waiver/Release below:
I know that participation in a road race is potentially hazardous. I should not enter and run or walk unless I am able and properly trained. I know that, although police protection is provided, there may be traffic on the course route. I assume the risk of running or walking in traffic. I also assume any and all other risks associated with participation in this event, including but not limited to falls, contact with other participants, the effects of weather, including high heat and/or humidity and cold temperatures, and conditions 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 completion of this event. I also authorize First Aid and/or treatment to be rendered in case of any emergency.

I hereby consent to and authorize the use and reproduction, in print or electronic format, by The Board of Trustees of The University of Illinois or anyone authorized by the University of Illinois Springfield, of any and all photographs which have been taken on this day for any publicity purposes without compensation.

I also understand, in which case the Race Directors deem the weather conditions to be unsafe for the start or continuation of the race, that the race may be postponed or cancelled. Should I choose to stay on the race course, I do so at my own risk. All entry fees are non-refundable.

Having read this waiver and knowing these facts and in consideration of your accepting my entry, I , for myself and anyone entitled to act for my behalf, waive and release The Board of Trustees of The University of Illinois, the management personnel and all sponsors of the event, their representatives and successors and agents and employees from all claims or liabilities of any kind arising out of my participation in this event even though that liability might arise out of negligence or carelessness on the part of the persons named in this waiver. I hereby acknowledge that I have read and understand the terms of this waiver.