Nicole's Place 5K Fun Run

4th Annual

Nicole's Place Virtual Fun Run

 

 

Saturday, June 12, 2021

Registration $20.00

 

The Nicole's Place 5K Fun Run combines two of our favorite things: Running (or walking) and the Nicole's Place community!  While we can't congregate in large groups yet, we can come together virtually and enjoy some fun, fitness, and charity!

 

Location: ANYWHERE!

Join us at your favorite running or walking spot whether it be a park, in town, your neighborhood, or on the treadmill!

 

What to expect: On Saturday, June 12th, lace up your sneakers and support Nicole's Place. Run or walk the distance of a 5K (3.1 miles) with us!  Share your favorite running or walking route on the Nicole's Place Facebook page!  Be sure to tag us and use the hashtags, #NPFunRun, #NicolesPlaceatLaurelHouse, and #outrundv. This is a community event, so post pictures of your families, friends and pets along your route.  

 

Your $20.00 registration fee will help make it possible for Nicole's Place to continue to serve our community during this pandemic through services such as: telehealth counseling, crisis intervention, and assistance with household essentials. 

 

Register by May 15th to get your shirt! 

 

Event Information

Quantity
Price
Total
Registration
X
$
20.00=
$
0

Purple Ribbon Sponsorship

- Day of mention - Company recognized on Social Media - Acknowledgment on LH Website

X
$
50.00=
$
0

Sneaker Sponsorship

- Day of mention - Company recognized on Social Media - Acknowledgment on LH Website - Name printed on Event Shirt

X
$
100.00=
$
0

Magnet Sponsorship

- Day of mention - Company recognized on Social Media - Acknowledgment on LH Website - Name printed on Event Shirt - Acknowledgment in Press Release

X
$
500.00=
$
0

T-Shirt Sponsorship

- Day of mention - Company recognized on Social Media - Acknowledgment on LH Website - Name printed on Event Shirt - Acknowledgment in Press Release

X
$
1,000.00=
$
0

Final Total:
$
0
Participant Name
T-Shirt Size

Contact Information

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By entering your email address, you agree to receive emails from Laurel House. Collected information will not be shared with any third party and complies with our Privacy Policy.

CONSENT & ACCIDENT WAIVER & RELEASE OF LIABILITY FORM FOR NICOLE'S PLACE EVENT I HEREBY UNDERSTAND AND ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THE NICOLE'S PLACE 5K FUN RUN  (the “Event”). In consideration of permitting me to participate in the Event, I hereby, for myself and for each of my executors, administrators, heirs, next of kin, successors, and assigns WAIVE, RELEASE, HOLD HARMLESS, PROMISE NOT TO SUE, AND DISCHARGE the Released Persons (as defined below) from any and all liability, including, but not limited to liability arising, directly or indirectly, from the negligence or fault of any of the Released Persons, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me in connection with the Event. “Released Persons” shall include Nicole's Place, Laurel House, any sponsor of the Event; any volunteer assisting with the Event; and/or any affiliate, director, officer, employee, representative or agent of any of the foregoing entities or persons. I certify that I am physically fit, have sufficiently prepared or trained for participation in the Event, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in the Event. I understand while participating in this activity, I may be photographed. I hereby irrevocably provide my consent and agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the Nicole's Place, Laurel House, and any producers, sponsors, organizers of the Event and the successors or assigns of any of the foregoing entities. The waiver and release and other agreements I have made herein shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. By signing this Consent & Accident Waiver & Release of Liability Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. I will not, at any time in the future, claim that my electronic signature is not legally binding. I understand that checking this box constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided in this document.

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