2017 Individual 1M or 2M Walk Registration
The Arc of Northern Virginia's 39th Annual Corporate & Community Team Challenge 8K with 1M or 2M Walk.
Going the Distance for People with Disabilities, Sunday, May 7th 8:30am at Burke Lake Park, Shelter A.
Registration Fee is $25. Checks should be mailed to Diane Monnig, The Arc of Northern Virginia, 2755 Hartland Road, Suite 200, Falls Church, VA 22043.
If you have questions, contact Diane Monnig at firstname.lastname@example.org or call 703-208-1119 ext.118.
Name of Company or Organization
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
Adult T-Shirt Size (Unisex)
Youth T-Shirt Size (Unisex)
I know that participating in and volunteering for athletic events is potentially hazardous, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any decision of an event official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with this event, including but no limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. I understand that bicycles, skateboards, roller skates, and roller blades are not allowed in these events and I will abide by the guidelines. Having read this waiver and knowing these facts and in consideration of my participation, I, for myself and anyone entitled to act on my behalf, waive and release Metro Run & Walk, The Arc of Northern Virginia, any and all sponsors and affiliated organizations, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. The use of personal music devices is discouraged. Participant enjoyment, responsiveness to instructions, event camaraderie, and individual safety are improved when participants are headphone-free. The use of baby strollers and baby joggers is restricted to noncompetitive participants who must start at the rear of the race group. I will take extra care to ensure my stroller/jogger does not interfere with other participants. The presence of any animal is restricted to noncompetitive participants who must start at the rear of the race group. All animals shall be leashed, and any animal I bring will have the social temperament and training to pose no risk to other participants. I will take extra care to ensure my animal does not interfere with other participants.
By entering my name below, I assert that I have reviewed and agree to the waiver above.
Do Not Fill This Out