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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
  10. Price
  11. Sponsor Level
  12. Price
  13. Sponsor Level
  14. Price
  15. Sponsor Level
  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: