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Get your family involved for the 2018 Illini Community Hospital Non-Competitive 5K! This year's run takes place Friday, July 27 at Pittsfield City Lake.

Registration begins at 7:30 p.m., and the run itself begins just around 8:30, at dusk. Race fees are $20 for Adults and includes a tshirt. Kids 12 & under are $5 with shirt, free to kids who do not order a shirt. Registrations must be received by July 12 to guarantee shirts. Forms received after July 12 may receive shirts based on race day availability.

To get started, fill out the form below, or click here for a printable form that you can return to Illini Fitness, 128 W Washington St, Pittsfield, IL 62363. (Make checks payable to Illini Fitness.)

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 Fitness 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 FITNESS, 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.