Get your family involved at the 2022 Illini Community Hospital Glow Run, Non-Competitive 5K Run/Walk. This year’s event will take place on Saturday, May 7. The race will begin and finish at the Pikeland Community School parking lot, located behind the building (West side of the school).

Registration will begin at 7:30 pm and the run itself will begin at approximately 8:30 pm. Race fees are $25 and includes this year’s commemorative t-shirt. Registrations must be received by April 14 to guarantee shirts.

Register at the form below or by printing this form (attached document) and return it to Illini’s Main Entrance, 640 W. Washington, Pittsfield, IL 62363. Please make all checks payable to Illini Community Hospital.

Please list the sizes, and how many of each are needed, for Glow Run shirts below. Sizes for adult shirts range from Small-2XL, and kids sizes range from S(6-8), M (10-12) and L (14-16).

Photo Release: I consent to Blessing Health System (BHS), its employees or designees to photograph me during the Illini Glow Run and use for publication including, but not limited to BHS’s website, Facebook page and other publications. I consent and waive all rights and claims for payment or royalties in connection with the use of the photographs. I can revoke the consent at any time, however, the hospital is unable to revoke information that has already been disclosed.

RELEASE AND WAIVER OF LIABILITY: I, on behalf of myself, my personal representatives, heirs, executors, administrators, agents, and assigns, HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE ILLINI COMMUNITY HOSPITAL, its governing board, directors, officers, employees, agents, and volunteers, (hereinafter referred to as "Releasees") for any and all liability, including any and all claims, demands, causes of action (known or unknown), suits, or judgments of any and every kind (including attorneys' fees), arising from any injury, property damage or death that I may suffer as a result of my participation in the Activity, REGARDLESS OF WHETHER THE INJURY, DAMAGE OR DEATH IS CAUSED BY THE RELEASEES, UNLESS THE INJURY DAMAGE OR DEATH IS CAUSED BY THE RELEASEES’ NEGLIGENCE OR INTENTIONAL ACTS, AND REGARDLESS OF WHETHER THE INJURY DAMAGE OR DEATH OCCURS WHILE IN, ON, UPON, OR IN TRANSIT TO OR FROM THE PREMISES WHERE THE ACTIVITY, OR ANY ADJUNCT TO THE ACTIVITY, OCCURS OR IS BEING CONDUCTED. I further agree that the Releasees are not in any way responsible for any injury or damage that I sustain as a result of my own negligent acts.