2017 Hospital Hill Run Registration

 

 

Welcome! We are excited to have you be a part of the fundraising family for Heartstrings Community Foundation! Heartstrings provides unique employment opportunities for adults with intellectual/developmental disabilities within local business communities. 

 

 

Fundraising minimums:    

$250 - Individual          $1,000 - Team of 5

 

Policies for Participants:

1. Participants must secure a place on the team with a credit card number. If, at the final fundraising deadline (June 9, 2017), the fundraising minimum ($250/$1,000) has not been met according to the fundraising report generated by Heartstrings, the remaining balance will be charged to your (or your teams) credit card.

2. Individual participants cannot transfer fundraising money to other individual participants, teams or events.

 

3. Registration is not complete without your credit card information. You will not registered until that information is turned in.

 

4. All fundraising will be run through the Heartstrings website. Please do not create an account with imAthlete.

 

5. Hospital Hill Run and Heartstrings Community Foundation have a NO REFUND policy for this event. Please note that we do not offer any refunds or discount codes if you cancel your registration for this event. You will still be asked to fundraise/cover your fundraising minimum. 

Please understand we have these policies in place as an assurance to secure your event participation and other program costs. If you have any questions, please contact Denise Lynde at 913.522.0284 (HCF Run Chairperson). Denise is here to support you in your fundraising and training goals!

Event Cancellation Refund Protection Program

Click here to read the CANCELLATION and POSTPONEMENT DISCLAIMER

Waiver

Read the following waiver thoroughly. By acknowledging the waiver and agreeing to its terms electronically, you shall release liability, waive legal rights, and deprive yourself of the ability to sue certain parties. By agreeing electronically, you acknowledge that you have both read and understood all text presented to you as part of the registration process. 

 

 
 
Enter INITIALS to electronically sign waiver. Please enter only letters and NO periods, spaces, or other special characters:
Waiver Signature *

Remember, please intitials ONLY as your Waiver Signature.

Run Information

Which run are you participating in?*
  • 5k UMKC School of Medicine
  • 10k
  • Half Marathon (must be over 16)
Enter Team Name or None if running as an individual*

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*
Date of Birth*
Gender*
  • Male
  • Female
Emergency Contact Name*
Emergency Contact Phone*
Medical Information
Estimated Finish Time*

Click here for a size chart for the pajama bottoms - Hospital_Hill_Pajama_Size_Chart

Mobile Phone Number*
Mobile Phone Service Provider*

Be sure to say yes to the question below to receive text messages from Hospital Hill Run including your bib number and emergency notifications. Your cell number will never be shared with any Hospital Hill partners or any other outside agency or company other than Heartstrings Community Foundation.

Would you like to receive occasional information about this event via text message?*
  • Yes, text me info.
  • No, do not text me.
How many times have you participated in the Hospital Hill Run?*

For announcer information include how to say your name, or something fun such as this is your tenth Hospital Hill Run, or you raised over $1,000 for Heartstrings!

Announcer Information
Meeting the Fundraising Minimum*
  • I would like to fundraise for Heartstrings Community Foundation! Please wait to charge my credit card until the Final Fundraising Deadline (June 9, 2017). If, at that time, I have not met the Fundraising Minimum, please charge the remaining balance to my credit card (not to exceed $250/$1,000).
  • I do not want to fundraise. Please charge the $250/$1,000 to my credit card listed below to my account to the Fundraising Minimum.
  • I am a part of a team and someone else is paying the $1,000. (Please enter zeros in all the credit card fields below).
Credit Card - Name as it appears on card*
Credit Card (Visa/Mastercard/Discover) Number*
Credit Card Expiration*
Credit Card V-Code*
Credit Card Billing Zip Code*

Security Code

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