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Angel Request-Heart of a Lion 5K
September 15, 2019
Email address *
Current Angel Application? *
I have filled out the Angel Application on the Michigan Chapter website at: https://www.myteamtriumph-mi.org/become-an-angel
Last Name *
Your answer
First Name *
Your answer
Phone *
xxx-yyy-zzzz
Your answer
Email *
Your answer
Pace *
This is a 5K run. Please provide your pace per mile for this distance. MyTeam Triumph makes an effort to team Angels with others of similar pace.
Your answer
Angel Team Members
If you would like to team with specific Angels for this event, please share their names here (while we cannot guarantee teaming arrangements, we will do our best to honor your request):
Your answer
Captain Team Member
If you would like to team with a specific Captain for this event, please share his or her name here (while we cannot guarantee teaming arrangements, we will do our best to honor your request):
Your answer
Event Waiver *
In consideration of you accepting this entry, I, the participant, intending to be legally bound and hereby waive or release any and all right and claims for damages or injuries that I may have against the Event Director, RunSignup.com, and all of their agents assisting with the event, sponsors and their representatives and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees. I also authorize the use of photographs or videos that include my image for promotional, informational, or other reasons deemed to be in the best interest of the event.I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that my physical condition has been verified by a licensed Medical Doctor. By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above waiver.
Required
Event Registration Fee *
As a charity organization, myTEAM TRIUMPH relies on donations from Angels, family, friends, employers, etc. Your donation here, directed to myTEAM TRIUMPH, will cover the typical registration fee you pay on an event's signup website, whether it be for this event, or another if this event is comped. Any additional donation amount here will support our mission of enabling individuals with disabilities to participate in endurance athletics. MyTEAM TRIUMPH will cover total event registration requirements for our participant list via one lump sum payment. The minimum event registration fee will typically preclude any packet materials provided by event sponsors, including event shirt.
A copy of your responses will be emailed to the address you provided.
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