Register For
Move with PT 5k

Registrant #1

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Format: mm/dd/yyyy
Used for age group calculations
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In-Person Event

$30.00 + $3.55 SignUp Fee

Virtual Event

$20.00 + $2.95 SignUp Fee


In consideration for permission and support by the University of Dayton for me to participate in Move with PT 5k on April 15, 2023 at 10:00am.
I, the undersigned, for myself, my heirs, executors, administrators, and assigns do hereby release, hold harmless, indemnify, waive, and
discharge the University and all its officers, agents, and employees from and against any and all claims, demands, actions or cause of action
arising from any injuries or damage I may suffer or sustain by my participation in this activity. Furthermore, in full recognition and
appreciation of the potential dangers and hazards in such an activity, surrounding my participation in this activity or any activities undertaken
in addition thereto, I hereby assume any and all risks, liabilities, and responsibilities for all accidents, injuries, damages, or property losses
arising from or related to my participation. The undersigned acknowledges having read and understood the foregoing informed consent form.
I have caused this release to be executed with the completion of my registration.

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