Registration: 5K Robbie's Run

MONDAY, JULY 29, 2019
LAKE OF ISLES GOLF COURSE, NORTH STONINGTON, CT
REGISTRATION AT 3:30 PM, START AT 4 PM

When you register, you can submit a $500 payment at this time, or you can send a check or bring donations to the event. You'll receive an email with instructions for mailing.

Asterisk* indicates required field.

To sponsor a runner, go to our Donate page.

Download a registration/sponsorship form here.

USER INFORMATION
First Name:
Last Name:
Email:
Confirm Email:
Organization:
Address:
City:
State:
Zip Code:
Phone:
Date of Birth:
Sex:
Male  Female  
All Participants must be 21 Years old by 7/29/19

Release and Waiver

In consideration of the furtherance of your purpose, objectives & work, & in consideration of you permitting me to participate in Robbie’s 5K Run, on behalf of myself & my heirs, I hereby voluntarily, knowing, & with express intention of doing so, release & waive any & all rights & claims known & unknown, which I may have against Ronald McDonald House & Grampy’s Charities, as well as any other person or groups connected with this event, their heirs, assigns & successors, for any & all injuries or images which I may suffer while taking part in this event. Additionally, I waive any right to bring suit or action against RMH & Grampy’s Charities & their employees as well as other persons, or groups connected with this event, for any & all of the aforesaid injuries. I, the undersigned, give my general consent to RMH & Grampy’s Charities to take, reproduce & use, as described below, photographs or videotapes of me for use by RMH & Grampy’s Charities. I understand that the photos or tapes may be taken only with the consent of RMH & Grampy’s Charities during the event to be held on 7/29/19, for the benefit of RMH & Grampy’s Charities within or outside the agency, or any other use deemed suitable by RMH & Grampy’s Charities. I hereby release & agree to hold harmless RMH & Grampy’s Charities and their duly authorized agents for all legal responsibility for the use of photography or tapes as authorized herein.
Release/Waiver:
Agree
Additional non-participating party attendees: To add non-runner party attendees, please select the correct button:
One Party Guest:$125  
Two Party Guests:$250  
Three Party Guests:$375  
Four Party Guests:$500  
No Non-runner attendees