Mad Co Miles Sign-Up
Sign up to be a part of the Mad Co Miles Walk/Run to Fitness Group, sponsored by the Madison County Public Libraries.
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Name *
Email Address *
In which Group do you want to begin? (See initial goals by Group name.)  Once you complete a challenge, you can add those miles to have a head start on the next challenge! *
It is okay with me if you want to share any milestones that I meet within my Group. *
T-Shirt Size (for future prizes earned) *
Liability Waiver:  In consideration of my (and/or my child’s) participation in this activity, I hereby release and discharge the Madison County Public Libraries and its representatives, successors, and assigns, from any and all liability arising from accident, injury, and illness that I (he/she) may suffer as a result of my (our) participation in this activity. I (we) also will follow the rules and regulations set by the Organization and above named parties. Parent or guardian must sign for anyone age 18 and under. *
Media Release: I do hereby grant and give these groups the right to use my or my child(s) photograph or image with or without my or my child's name, both singly and in conjunction with other persons or objects and presentations, advertising, publicity, and promotion relating thereto. *
I understand that I should consult with my doctor prior to beginning any new physical activity or exercise program. *
If you are a Madison County resident, please select your home library branch. Note:  You do not have to be a Madison County resident to participate in this program.
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