Team Key: You may designate any word as your team key. You will give this word to all people whom you want to register as a member of your team. When they come to the site to register, they will enter the word as verification that they are an approved team member and their individual registration fee will be waived in lieu of the team registration fee.
Team Password: You may designate any word as your team password. You will use this password along with your Team Key to access the list of people registered to run with your team on the AIDS Walk Run Athens web site. The link for the login will be emailed to you after submitting your team registration.

Register to Walk!!

Register Myself for the
3rd Annual AIDS Walk/Run Athens

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Personal Information

  • Name (First Last):
  • Email:
  • Phone:
  • Address:
  • City, St Zip:
    ,
  • Runner Walker
  • Age:      
  • Gender:

Waiver of Liability for Team Contact/Captain Only****

I choose to participate voluntarily as a walker or runner in AIDS Walk/Run Athens 2010 for the purpose of raising funds for AIDS Athens.

As a lawful consideration for being permitted by AIDS Walk/Run Athens to participate in the event, I hereby for myself, my heirs, my administrators, my personal representatives, and my assigns, forever release and discharge AIDS Walk/Run Athens, its board, directors, officers, employees, and agents-collectively the Released Parties- from any and all liabilities, losses, costs, claims, demands or causes of action-collectively Liabilities-that I may hereafter have for damages, injuries, and death arising out of my participation as a walker or runner. This agreement will not apply to willful, reckless or intentional acts of Released Parties.

I have carefully read the above release and agreement and am fully familiar with its contents. I agree that this release and agreement will be governed by Georgia law and is intended to be as broad and inclusive as permitted by the law of Georgia. I also agree that if any portion of it is held invalid, the balance shall, notwithstanding, continue in full legal force and effect. This waiver of liability shall be binding upon myself, my heirs, my administrators, my personal representatives, and my assigns.

BY SIGNING BELOW, I REPRESENT THAT I HAVE READ THIS DOCUMENT CAREFULLY, THAT I AGREE TO ALL OF ITS PROVISIONS, AND THAT I SIGN THIS AGREEMENT OF MY OWN FREE WILL.

Signature:   Date:

***Please note that the registration fee of $100 for each team is due at the time of registration although additional contributions may be turned in at the walk.

Every member of your team must also complete an individual registration form, but IS NOT required to pay the individual registration fee of $15.

****Please note this waiver only applies to the the Team Contact filling out this form. Each team member must sign the waiver when they complete their individual registration.

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