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2022 5K Rock 'n Stroll / Walk For Seniors

  1. Attention!!!
    * Creating an account is not required to proceed to register!
  2. Name of additional walkers and T-Shirt Size:

  3. Walkers
    Fee per person
  4. Price
  5. Fee Includes:

    T-shirt, Medal & Lunch to Participants

  6. Contribution
    I cannot attend but would like to contribute:
  7. Choose One:
  8. Sponsorship
  9. Sponsor Level
    Platinum
  10. Price
  11. Sponsor Level
    Gold
  12. Price
  13. Sponsor Level
    Silver
  14. Price
  15. Sponsor Level
    Bronze
  16. Price
  17. 5K Sponsorship 2022
  18. Electronic Signature*

    WAIVER: I hereby waive all claims against , Waukegan Township,   Waukegan Park District, City of Waukegan sponsors, or vendors for personal injury I might suffer in this event. I attest I am physically fit and prepared for this event.

    By checking you agree and acknowledge your electronic signature is valid and binding in the same.

  19. Leave This Blank: