https://www.familychiropractorwellness.com/

Run. Walk. Paw.
Saturday, May 3rd, 2025
Beginning at 9:00AM
Order Details
Description Registration - Run. Walk. Paw.
Total
Contact
Email*
Verify Email*
Phone*
Registration Information
Participant Last Name
Participant First Name
Emergency Contact Person
Emergency Phone Number
T-shirt Size (adult
sizing only)
Participating Dog's Name
(if applicable)
Billing Address
Billing Address*
Billing City*
Billing State*
Billing Zip*
Billing Country*
Billing
Name On Card*
Credit Card Number*
Card Expiration Date*  / 
Card Verification Code* what's this?
First Name on Account*
Last Name on Account*
Bank Name*
Routing Number* what's this?
Verify Routing Number*
Account Number*
Verify Account Number*
*Required



Read this Acknowledgement of Risk and Waiver of Liability carefully and in its entirety.
I know that participating in the Family Chiropractic and Wellness (FCW) Run. Walk. Paw. is a potentially hazardous activity and I should not enter and participate unless I am medically able and properly trained. I acknowledge and assume any and all risks associated with this event including, but not limited to, traffic on the course route, falls, contact with other participants, and the condition of the course, including, but not limited to, curbs, cars, uneven pavement, potholes, rocks, and objects on the course surface. Knowing and appreciating these risks and in consideration of your acceptance of my entry, I hereby for myself, my heirs, representatives or anyone else claiming on my behalf, covenant not to sue, and waive, release, and discharge Family Chiropractic and Wellness, its volunteers, and sponsors, and anyone else acting for or on behalf the Run. Walk. Paw. from any and all claims of liability for death, personal injury, or damage of any kind arising out of my participation in this run. This Acknowledgement of Risk and Waiver of Liability extends to all claims of every kind whatsoever. I also consent to emergency treatment in the event of injury or illness. I grant full permission to FCW and/or any person or entity authorized by it to use my name, age, date of birth, finish place and finish time in the public domain. I further grant full permission for FCW to use any photographs, recordings, or any other record of this event for any purpose. My payment acknowledges that I, as a participant or parent/guardian of participant, have read this waiver and I agree and accept all terms and conditions set forth herein.
 
Terms of Use | Privacy Policy | Return Policy
Family Chiropractic and Wellness
17502 Dodd Blvd Lakeville, MN 55044-5268
(952) 431-7400
To protect your client's privacy, our secure server uses secure socket layer (SSL). This ensures that the billing information is encrypted and cannot be read as this information is transferred over the internet.
Powered by Cash Practice® Systems