Jerusalem Marathon Registration

You will now be redirected to enter your payment details.

Do not close this page! Your registration is not complete.

Please wait as you are being directed to the payment page, to complete your transaction.

אל תסגור את הדף!
נא להמתין אנחנו כרגע מעבירים אותך לעמוד תשלום

You must have JavaScript enabled in order to use this order form. Please enable JavaScript and then reload this page in order to continue.

Fill out this form to register and when you’re done, go to LOGIN and create your own web page.

To create a team, first click here and then register.

Registration Information

Use English characters only

First Name: *

Last Name: *

Address: *

Seminary and Yeshiva students studying in Israel for the 2018-2019 school year should enter their permanent home address.

City: *

State: *

Zip Code: *

Country: *

Phone Number: *

Cell Phone:

Email Address: *

Confirm Email Address: *

Gender: *

Male Female

Date of Birth: *

I am a: (Determines Minimum Fundraising Amount)*

I am a group high school student within the New York Tri-State area or Ontario/Quebec area and will require group air fare and hotel stay (based on double or triple occupancy) and agree to raise a minimum of $2950 by February 5, 2019.

I am a group high school student outside the New York area Tri-State or Ontario & Quebec area and will require group air fare and hotel stay (based on double or triple occupancy) and agree to raise $3050 by February 5, 2019.

I am a College /Hillel student within the New York Tri-State area or Ontario/Quebec area and will require group air fare and hotel stay (based on double or triple occupancy) and agree to raise a minimum of $2950 by February 5, 2019.

I am a College /Hillel student outside the New York Tri-State area or Ontario & Quebec area and will require group air fare and hotel stay (based on double or triple occupancy) and agree to raise $3050 by February 5, 2019.

I am a Seminary/Yeshiva within the New York Tri-State area or Ontario/Quebec area and will require group air fare and hotel stay (based on double or triple occupancy) and agree to raise a minimum of $2950 by February 5, 2019.

I am a Seminary/Yeshiva student outside the New York Tri-State area or Ontario & Quebec area and will require group air fare and hotel stay (based on double or triple occupancy) and agree to raise $3050 by February 5, 2019.

I am an individual adult runner and will require air fare and hotel stay (based on double occupancy) and agree to raise a minimum of $3950 by February 5, 2019.

I am a family of 2 (or more) and will require air fare and hotel stay (based on double occupancy) and agree to raise a minimum of $3450 each by February 5, 2019.

I am part of a Group (10+ participants) and will require air fare and hotel stay (based on double occupancy) and agree to raise a minimum of $3450 each by February 5, 2019

I am a high school chaperone within the New York Tri-State area or Ontario/Quebec area and will require group air fare and hotel stay (based on double or triple occupancy). In the event that my school does not have 10 recommitted students by January 5, 2019 I agree to raise a minimum of $2950 by February 5, 2019.

I am a high school chaperone outside the New York area Tri-State or Ontario & Quebec area and will require group air fare and hotel stay (based on single occupancy). In the event that my school does not have 10 recommitted students by January 5, 2019 I agree to raise $3050 February 5, 2019.

I understand that a surcharge of $300, payable to GoInspire, will apply to all registrations received after January 25, 2019.

Is this your first time in Israel? *

Yes No

Occupation: *

Employer:

Education

High School: *

Grade: *

Graduating Year: *

High School: *

Education

College/Seminary/Yeshiva: *

Graduating Year: *

Parent Contact Information

Name: *

Phone: *

Email: *

Emergency Contact Information

Name: *

Phone: *

Email: *

Relationship: *

Please create a password in order to access the participant and training sections of the website.

Username: *

Password: *

Re-Type Password: *

Team Information

Would you like to join a family, group or school team? *

Yes No
To start your own team click here.

Team Preference

To start your own team please click here.

Event & Travel Information

Marathon: *

Full Marathon Half Marathon 10K 5K

Participants running a full marathon must be 18 years old by March 15th, 2019.

Estimated Finish Time: *

: :

Passport Number *

Issuing Country*

Other Issuing Country *

Expiration Date *

*PLEASE NOTE: All visitors to Israel must hold a passport that is valid for at least six months from the date they are departing the country.

If your passport is in the process of renewal, please indicate your current passport number and expiry date and inform us the new details when available.

Raise more. Give more. Get more.

Runners are only required to reach their minimum fundraising targets. But if you raise more, you get more!

bronze

(students only)

$4,000+ per runner

Recognition and award presented at the Pasta Party for your outstanding support

Exclusively designed Shalva necklace/key chain

"First Aid" Max Brenner Gourmet Chocolate Box

silver

(adults only)

$7,200+ per runner

Recognition and award presented at the Pasta Party for your outstanding support

Exclusively designed Shalva necklace/key chain

"First Aid" Max Brenner Gourmet Chocolate Box

Bottle of limited edition Shalva wine from the Tulip Winery

Fresh fruit platter upon arrival

Upgrade to private superior room

Executive floor privileges

Fitness center privileges

gold

(adults only)

$10,800+ per runner

Recognition and award presented at the Pasta Party for your outstanding support

Exclusively designed Shalva necklace/key chain

"First Aid" Max Brenner Gourmet Chocolate Box

Bottle of limited edition Shalva wine from the Tulip Winery

Fresh fruit platter upon arrival

Upgrade to a private suite

Executive floor privileges

Fitness center privileges

Voucher to Genesis Restaurant

Pre or post-race massage

Team Shalva T-shirt

As a Team Shalva participant you will receive a complimentary Team Shalva 'tech T-shirt' to be worn at the Jerusalem Marathon. Please indicate your size.

Size: *

Recruitment Information

Have you participated with Team Shalva before: *

Yes No

Year: *

Check all that apply

2018 2017 2016 2015 2014 2013 2012 2011 2010

How did you hear about us? *

Please specify: *

Personal Connection

If there is someone whose honor or memory you wish to train for, please indicate below:

In Memory Of In Honor Of For The Recovery Of

Name

If you would like us to send an acknowledgement of your participation in Team Shalva to your personal honoree or his/her family, please indicate where the acknowledgement should be sent:

Billing Information

The registration fee is non-refundable and is not transferrable. You will be required to sign a fundraising recommitment letter by January 5, 2019. In the very unlikely event you decide not to participate, you may do so without any additional obligation up until your respective recommitment date.

Registration Fee is $100.

Coupon Code:

If you have a coupon code please enter it below.

You will be charged a $ registration fee.

Card Type: *

Card Number: *

Exp. Month: *

Exp. Year: *

Security Code: *

Waiver and Release

If the student is under the age of 18, the student's parent should read and agree to the following:  I am applying for my child to participate in the Team Shalva program and the Jerusalem marathon.  I represent and warrant that I am the parent or legal guardian of the child and, as such, consent to my child's participation in the Team Shalva program and the Jerusalem marathon and I agree that the terms hereof apply equally to my child and me and any claims I or my child may have in connection therewith. I also waive any derivative claims that relate to or arise out of my child's participation in the Team Shalva program and the Jerusalem marathon.  All references to "I" or "me" or similar words herein apply to me and to my child.
                 
I wish to participate in the Team Shalva group that will be running in the 2019 Jerusalem Marathon in order to raise awareness and critically needed funds that support the non-profit work of Shalva - The Association for Mentally & Physically Challenged Children in Israel ("Shalva"). I understand that while training for and participating in this event, I will be traversing public streets and thoroughfares where potential hazards exist. I confirm that I am aware of and appreciate the risks that may result. I am also aware that accidents may occur during this event or during the training for this event which could result in serious injury or death. I am voluntarily participating in this event and in the training for this event with knowledge of the dangers involved and I agree to accept all risks of injury or death.

I have accepted the responsibility to raise the minimum fundraising requirement for the event I have selected in order to participate with the Team Shalva group. By December 5th 2018, I will be asked to recommit to the program and at that time I will be required to secure my spot on the team with a personal credit card.  My group flight must be booked by December 21st, 2018, to avoid possible additional charges.

Once I have recommitted, I will be responsible to provide all funds collected, whether checks or by credit card, on or before the fundraising deadline of February 5th, 2019, and I authorize Shalva to charge the credit card submitted during my recommitment for any balance that remains due in order to meet the required fundraising minimum established for this event. If my credit card is so charged, I understand that I have until May 1st, 2019, to provide additional donations and to receive a refund.

Once I recommit I am aware that if for any reason I am not able to participate in the event, I will still honor my obligation to raise the fundraising minimum established for the event.

I agree to abide by any decision of a Jerusalem marathon official or Team Shalva official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever.


I assume all risks associated with running in this event, including but not limited to: falls; contact with other participants, spectators or others, or vehicular or other traffic; the effects of the weather, including heat and humidity, wind, cold temperature, and wet or icy surfaces; falling tree branches or other overhead objects; traffic; and the crowded nature and other conditions of the road, including surface conditions such as slipperiness, holes or obstacles; and acts of terrorism or other violent acts, all such risks being known and appreciated by me.

I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players may not be allowed in the race and I will abide by all race rules.
I grant medical personnel at the Jerusalem marathon permission to administer or arrange for any medical assistance that they deem necessary or appropriate as a result of my participation in the event, including without limitation, arranging transportation to a hospital of other medical facility. 

Having read this waiver and release, and in consideration for being permitted to participate in this event in support of Shalva, I, for myself and anyone entitled to act on my behalf, agree to assume all risks and to release, hold harmless, and covenant not to sue Shalva, Team Shalva, American Friends of Shalva Israel, Inc., Canadian Friends of Shalva, British Friends of Shalva, each of their respective officers, directors, employees and agents, members of the event team, chaperones, Team Shalva coach, and any designated beneficiaries, sponsors, officials, participating clubs, communities, organizations, friends of the event, including the event medical sponsor, the medical director, and members of the medical team, and all other government or public entities including, but not limited to, the Department of Transportation of the Jerusalem municipality and affiliated organizations and all their respective directors, officers, agents, employees and members (collectively, the "Releasees"), from any present or future claim, loss or liability of any kind that I may have arising out of my participation in and training for the event, including bodily injury, death or property damage, whether caused by negligence or carelessness of the Releasees or otherwise.

Furthermore, I, for myself and anyone entitled to act on my behalf, agree to waive my rights and to discharge all the Releasees from all claims, losses, or liabilities for death, bodily injury or property damage that I may have, or which may hereafter accrue to me, as a result of my participation in this event, even though that liability may arise from negligence or carelessness on the part of the Releasees, from dangerous or defective property or equipment owned, maintained or controlled by them or because of the possible liability without fault.

I agree to attend all the Team Shalva programs and abide by the Team Shalva Code of Conduct during my stay with Team Shalva but that Team Shalva bears no responsibility for any violation by me of the Team Shalva Code of Conduct or the direct or indirect consequences thereof. I affirm that I understand the risks associated with each of the foregoing. 

I am aware that the only ‘free time’ is, Friday from 1:00 – 4:00 PM and Sunday morning until departure. Any plans for my free time must be coordinated prior to my departure to Israel between my parent and my chaperone. 

Without limiting any other waivers and releases, I, for myself and anyone entitled to act on my behalf, hereby agree that none of the Releasees are responsible for any loss, damage, or injury to me or any of my belongings occurring while I am with or accompanying Team Shalva and/or occurring as a direct or indirect result of my violation of the Team Shalva Code of Conduct.

I understand and agree that the Waiver and Release is binding on my heirs, assigns and legal representatives. I am physically capable of training for and completing this event. If I am aware of or under treatment for any physical infirmity, ailment or illness, my medical care provider knows of and has approved my training for and participation in this event. I will maintain personal health insurance while training for and participating in the event. I acknowledge that I and I alone am entirely responsible for my personal health and safety and the personal property I bring with me.

I understand that all donations processed by Shalva, American Friends of Shalva Israel, Inc., Canadian Friends of Shalva, or British Friends of Shalva are non-refundable and non-transferable even if I do not participate in the event.

I understand that my name, photograph, voice and/or likeness may be used by Shalva, Team Shalva, and their sponsors, beneficiaries, licensees, affiliates and employees. I consent to and authorize, in advance, such use without compensation and waive all rights of privacy I have in connection therewith. 

In the event that the school does not register 10 students by January 10, 2019, the chaperone will be required to meet the student minimum fundraising goal.

In order to maintain the prices stated in this agreement, Shalva reserves the right to change accommodations and other components of the Team Shalva program. By agreeing, I affirm that I understand the risks associated with international travel and that the Releasees are not responsible for any loss, damage, or injury to any of the Team Shalva program participants or any belongings of that participant caused directly or indirectly by Shalva suppliers or agencies, or by any airline, hotel, common carrier, travel agency, or any other person or entity. Shalva reserves the right to limit participation based upon eligibility requirements, space limitations, and other criteria that it may, in its sole discretion, determine.

I do hereby agree that any current or future dispute or claim between me and any of the Releasees arising out of, resulting from or relating to my participation in the event, shall be resolved by confidential, final and binding arbitration administered by JAMS, The Resolution Experts (“JAMS”), and conducted in accordance with the then-current JAMS Arbitration Rules & Procedures (the “Rules”) by an impartial arbitrator to be jointly selected by me and the Releasees from a list of neutral arbitrators provided by JAMS. The arbitrator shall have the authority to award any remedies, including attorneys’ fees and costs, available under applicable law, except punitive or exemplary damages. I acknowledge that judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction, and that the award may be vacated or modified only on the grounds specified in the Federal Arbitration Act or other applicable law.

I understand that any arbitration conducted pursuant to this agreement shall take place in New York County, New York.I acknowledge that such agreement is given in exchange for rights or benefits to which I am not otherwise entitled and the more expeditious and confidential resolution of any such disputes.

I hereby agree that all claims will be pursued on an individual basis and I hereby waive my right to commence or be a party to any class or collective claims or any joint any claim against the Releasees.

I HAVE READ THIS WAIVER/RELEASE, AND I FULLY UNDERSTAND ITS TERMS AND CONDITIONS AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO BRING ACTIONS AGAINST THE RELEASEES. I ACKNOWLEDGE THAT I AM SIGNING THE WAIVER/RELEASE FREELY AND VOLUNTARILY, AND THAT I INTEND BY MY SIGNATURE TO COMPLETELY AND UNCONDITIONALLY RELEASE THE RELEASEES TO THE FULLEST EXTENT ALLOWED BY LAW.

I EXPRESSLY AGREE THAT THIS WAIVER/RELEASE IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY THE LAWS OF THE STATE OF NEW YORK AND THAT THIS WAIVER SHALL BE GOVERNED BY AND INTERPRETED BY THE LAWS OF THE STATE OF NEW YORK. I AGREE THAT IN THE EVENT THAT ANY CLAUSE OR PROVISION OF THIS WAIVER/RELEASE SHALL BE HELD TO BE INVALID, THE INVALIDITY OF SUCH CLAUSE OR PROVISION SHALL NOT OTHERWISE AFFECT THE REMAINING PROVISIONS OF THIS WAIVER/RELEASE, WHICH SHALL CONTINUE TO REMAIN IN FULL FORCE AND EFFECT.

If the student is under the age of 18, the student's parent should read and agree to the following:  I am applying for my child to participate in the Team Shalva program and the Jerusalem marathon.  I represent and warrant that I am the parent or legal guardian of the child and, as such, consent to my child's participation in the Team Shalva program and the Jerusalem marathon and I agree that the terms hereof apply equally to my child and me and any claims I or my child may have in connection therewith. I also waive any derivative claims that relate to or arise out of my child's participation in the Team Shalva program and the Jerusalem marathon.  All references to "I" or "me" or similar words herein apply to me and to my child.

I wish to participate in the Team Shalva group that will be running in the 2019 Jerusalem Marathon in order to raise awareness and critically needed funds that support the non-profit work of Shalva - The Association for Mentally & Physically Challenged Children in Israel ("Shalva"). I understand that while training for and participating in this event, I will be traversing public streets and thoroughfares where potential hazards exist. I confirm that I am aware of and appreciate the risks that may result. I am also aware that accidents may occur during this event or during the training for this event which could result in serious injury or death. I am voluntarily participating in this event and in the training for this event with knowledge of the dangers involved and I agree to accept all risks of injury or death.

I have accepted the responsibility to raise the minimum fundraising requirement for the event I have selected in order to participate with the Team Shalva group. By December 20th, 2018, I will be asked to recommit to the program and at that time I will be required to secure my spot on the team with a personal credit card.  My group flight must be booked by December 21st, 2018, to avoid possible additional charges.

Once I have recommitted, I will be responsible to provide all funds collected, whether checks or by credit card, on or before the fundraising deadline of February 5th, 2019, and I authorize Shalva to charge the credit card submitted during my recommitment for any balance that remains due in order to meet the required fundraising minimum established for this event. If my credit card is so charged, I understand that I have until May 1st, 2019, to provide additional donations and to receive a refund.

Once I recommit I am aware that if for any reason I am not able to participate in the event, I will still honor my obligation to raise the fundraising minimum established for the event.

I agree to abide by any decision of a Jerusalem marathon official or Team Shalva official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever.

I assume all risks associated with running in this event, including but not limited to: falls; contact with other participants, spectators or others, or vehicular or other traffic; the effects of the weather, including heat and humidity, wind, cold temperature, and wet or icy surfaces; falling tree branches or other overhead objects; traffic; and the crowded nature and other conditions of the road, including surface conditions such as slipperiness, holes or obstacles; and acts of terrorism or other violent acts, all such risks being known and appreciated by me.

I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players may not be allowed in the race and I will abide by all race rules.
I grant medical personnel at the Jerusalem marathon permission to administer or arrange for any medical assistance that they deem necessary or appropriate as a result of my participation in the event, including without limitation, arranging transportation to a hospital of other medical facility. 

Having read this waiver and release, and in consideration for being permitted to participate in this event in support of Shalva, I, for myself and anyone entitled to act on my behalf, agree to assume all risks and to release, hold harmless, and covenant not to sue Shalva, Team Shalva, American Friends of Shalva Israel, Inc., Canadian Friends of Shalva, British Friends of Shalva, each of their respective officers, directors, employees and agents, members of the event team, chaperones, Team Shalva coach, and any designated beneficiaries, sponsors, officials, participating clubs, communities, organizations, friends of the event, including the event medical sponsor, the medical director, and members of the medical team, and all other government or public entities including, but not limited to, the Department of Transportation of the Jerusalem municipality and affiliated organizations and all their respective directors, officers, agents, employees and members (collectively, the "Releasees"), from any present or future claim, loss or liability of any kind that I may have arising out of my participation in and training for the event, including bodily injury, death or property damage, whether caused by negligence or carelessness of the Releasees or otherwise.

Furthermore, I, for myself and anyone entitled to act on my behalf, agree to waive my rights and to discharge all the Releasees from all claims, losses, or liabilities for death, bodily injury or property damage that I may have, or which may hereafter accrue to me, as a result of my participation in this event, even though that liability may arise from negligence or carelessness on the part of the Releasees, from dangerous or defective property or equipment owned, maintained or controlled by them or because of the possible liability without fault.

I agree to attend all the Team Shalva programs and abide by the Team Shalva Code of Conduct during my stay with Team Shalva but that Team Shalva bears no responsibility for any violation by me of the Team Shalva Code of Conduct or the direct or indirect consequences thereof. I affirm that I understand the risks associated with each of the foregoing. 

I am aware that the only ‘free time’ is, Friday from 1:00 – 4:00 PM and Sunday morning until departure. Any plans for my free time must be coordinated prior to my departure to Israel between my parent and my chaperone. 

Without limiting any other waivers and releases, I, for myself and anyone entitled to act on my behalf, hereby agree that none of the Releasees are responsible for any loss, damage, or injury to me or any of my belongings occurring while I am with or accompanying Team Shalva and/or occurring as a direct or indirect result of my violation of the Team Shalva Code of Conduct.

I understand and agree that the Waiver and Release is binding on my heirs, assigns and legal representatives. I am physically capable of training for and completing this event. If I am aware of or under treatment for any physical infirmity, ailment or illness, my medical care provider knows of and has approved my training for and participation in this event. I will maintain personal health insurance while training for and participating in the event. I acknowledge that I and I alone am entirely responsible for my personal health and safety and the personal property I bring with me.

I understand that all donations processed by Shalva, American Friends of Shalva Israel, Inc., Canadian Friends of Shalva, or British Friends of Shalva are non-refundable and non-transferable even if I do not participate in the event.

I understand that my name, photograph, voice and/or likeness may be used by Shalva, Team Shalva, and their sponsors, beneficiaries, licensees, affiliates and employees. I consent to and authorize, in advance, such use without compensation and waive all rights of privacy I have in connection therewith. 

In the event that the school does not register 10 students by January 10, 2019, the chaperone will be required to meet the student minimum fundraising goal.

In order to maintain the prices stated in this agreement, Shalva reserves the right to change accommodations and other components of the Team Shalva program. By agreeing, I affirm that I understand the risks associated with international travel and that the Releasees are not responsible for any loss, damage, or injury to any of the Team Shalva program participants or any belongings of that participant caused directly or indirectly by Shalva suppliers or agencies, or by any airline, hotel, common carrier, travel agency, or any other person or entity. Shalva reserves the right to limit participation based upon eligibility requirements, space limitations, and other criteria that it may, in its sole discretion, determine.

I do hereby agree that any current or future dispute or claim between me and any of the Releasees arising out of, resulting from or relating to my participation in the event, shall be resolved by confidential, final and binding arbitration administered by JAMS, The Resolution Experts (“JAMS”), and conducted in accordance with the then-current JAMS Arbitration Rules & Procedures (the “Rules”) by an impartial arbitrator to be jointly selected by me and the Releasees from a list of neutral arbitrators provided by JAMS. The arbitrator shall have the authority to award any remedies, including attorneys’ fees and costs, available under applicable law, except punitive or exemplary damages. I acknowledge that judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction, and that the award may be vacated or modified only on the grounds specified in the Federal Arbitration Act or other applicable law.

I understand that any arbitration conducted pursuant to this agreement shall take place in New York County, New York.I acknowledge that such agreement is given in exchange for rights or benefits to which I am not otherwise entitled and the more expeditious and confidential resolution of any such disputes.

I hereby agree that all claims will be pursued on an individual basis and I hereby waive my right to commence or be a party to any class or collective claims or any joint any claim against the Releasees.

I HAVE READ THIS WAIVER/RELEASE, AND I FULLY UNDERSTAND ITS TERMS AND CONDITIONS AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO BRING ACTIONS AGAINST THE RELEASEES. I ACKNOWLEDGE THAT I AM SIGNING THE WAIVER/RELEASE FREELY AND VOLUNTARILY, AND THAT I INTEND BY MY SIGNATURE TO COMPLETELY AND UNCONDITIONALLY RELEASE THE RELEASEES TO THE FULLEST EXTENT ALLOWED BY LAW.

I EXPRESSLY AGREE THAT THIS WAIVER/RELEASE IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY THE LAWS OF THE STATE OF NEW YORK AND THAT THIS WAIVER SHALL BE GOVERNED BY AND INTERPRETED BY THE LAWS OF THE STATE OF NEW YORK. I AGREE THAT IN THE EVENT THAT ANY CLAUSE OR PROVISION OF THIS WAIVER/RELEASE SHALL BE HELD TO BE INVALID, THE INVALIDITY OF SUCH CLAUSE OR PROVISION SHALL NOT OTHERWISE AFFECT THE REMAINING PROVISIONS OF THIS WAIVER/RELEASE, WHICH SHALL CONTINUE TO REMAIN IN FULL FORCE AND EFFECT.

If the student is under the age of 18, the student's parent should read and agree to the following:  I am applying for my child to participate in the Team Shalva program and the Jerusalem marathon.  I represent and warrant that I am the parent or legal guardian of the child and, as such, consent to my child's participation in the Team Shalva program and the Jerusalem marathon and I agree that the terms hereof apply equally to my child and me and any claims I or my child may have in connection therewith. I also waive any derivative claims that relate to or arise out of my child's participation in the Team Shalva program and the Jerusalem marathon.  All references to "I" or "me" or similar words herein apply to me and to my child.

I wish to participate in the Team Shalva group that will be running in the 2019 Jerusalem Marathon in order to raise awareness and critically needed funds that support the non-profit work of Shalva - The Association for Mentally & Physically Challenged Children in Israel ("Shalva"). I understand that while training for and participating in this event, I will be traversing public streets and thoroughfares where potential hazards exist. I confirm that I am aware of and appreciate the risks that may result. I am also aware that accidents may occur during this event or during the training for this event which could result in serious injury or death. I am voluntarily participating in this event and in the training for this event with knowledge of the dangers involved and I agree to accept all risks of injury or death.

I have accepted the responsibility to raise the minimum fundraising requirement for the event I have selected in order to participate with the Team Shalva group. By January 5th, 2019, I will be asked to recommit to the program and at that time I will be required to secure my spot on the team with a personal credit card.  My group flight must be booked by January 10th, 2019, to avoid possible additional charges.

Once I have recommitted, I will be responsible to provide all funds collected, whether checks or by credit card, on or before the fundraising deadline of February 5th, 2019, and I authorize Shalva to charge the credit card submitted during my recommitment for any balance that remains due in order to meet the required fundraising minimum established for this event. If my credit card is so charged, I understand that I have until May 1st, 2019, to provide additional donations and to receive a refund.

Once I recommit I am aware that if for any reason I am not able to participate in the event, I will still honor my obligation to raise the fundraising minimum established for the event.

I agree to abide by any decision of a Jerusalem marathon official or Team Shalva official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever.

I assume all risks associated with running in this event, including but not limited to: falls; contact with other participants, spectators or others, or vehicular or other traffic; the effects of the weather, including heat and humidity, wind, cold temperature, and wet or icy surfaces; falling tree branches or other overhead objects; traffic; and the crowded nature and other conditions of the road, including surface conditions such as slipperiness, holes or obstacles; and acts of terrorism or other violent acts, all such risks being known and appreciated by me.

I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players may not be allowed in the race and I will abide by all race rules.
I grant medical personnel at the Jerusalem marathon permission to administer or arrange for any medical assistance that they deem necessary or appropriate as a result of my participation in the event, including without limitation, arranging transportation to a hospital of other medical facility. 

Having read this waiver and release, and in consideration for being permitted to participate in this event in support of Shalva, I, for myself and anyone entitled to act on my behalf, agree to assume all risks and to release, hold harmless, and covenant not to sue Shalva, Team Shalva, American Friends of Shalva Israel, Inc., Canadian Friends of Shalva, British Friends of Shalva, each of their respective officers, directors, employees and agents, members of the event team, chaperones, Team Shalva coach, and any designated beneficiaries, sponsors, officials, participating clubs, communities, organizations, friends of the event, including the event medical sponsor, the medical director, and members of the medical team, and all other government or public entities including, but not limited to, the Department of Transportation of the Jerusalem municipality and affiliated organizations and all their respective directors, officers, agents, employees and members (collectively, the "Releasees"), from any present or future claim, loss or liability of any kind that I may have arising out of my participation in and training for the event, including bodily injury, death or property damage, whether caused by negligence or carelessness of the Releasees or otherwise.

Furthermore, I, for myself and anyone entitled to act on my behalf, agree to waive my rights and to discharge all the Releasees from all claims, losses, or liabilities for death, bodily injury or property damage that I may have, or which may hereafter accrue to me, as a result of my participation in this event, even though that liability may arise from negligence or carelessness on the part of the Releasees, from dangerous or defective property or equipment owned, maintained or controlled by them or because of the possible liability without fault.

I agree to attend all the Team Shalva programs and abide by the Team Shalva Code of Conduct during my stay with Team Shalva but that Team Shalva bears no responsibility for any violation by me of the Team Shalva Code of Conduct or the direct or indirect consequences thereof. I affirm that I understand the risks associated with each of the foregoing. 

I am aware that the only ‘free time’ is, Friday from 1:00 – 4:00 PM and Sunday morning until departure. Any plans for my free time must be coordinated prior to my departure to Israel between my parent and my chaperone. 

Without limiting any other waivers and releases, I, for myself and anyone entitled to act on my behalf, hereby agree that none of the Releasees are responsible for any loss, damage, or injury to me or any of my belongings occurring while I am with or accompanying Team Shalva and/or occurring as a direct or indirect result of my violation of the Team Shalva Code of Conduct.

I understand and agree that the Waiver and Release is binding on my heirs, assigns and legal representatives. I am physically capable of training for and completing this event. If I am aware of or under treatment for any physical infirmity, ailment or illness, my medical care provider knows of and has approved my training for and participation in this event. I will maintain personal health insurance while training for and participating in the event. I acknowledge that I and I alone am entirely responsible for my personal health and safety and the personal property I bring with me.

I understand that all donations processed by Shalva, American Friends of Shalva Israel, Inc., Canadian Friends of Shalva, or British Friends of Shalva are non-refundable and non-transferable even if I do not participate in the event.

I understand that my name, photograph, voice and/or likeness may be used by Shalva, Team Shalva, and their sponsors, beneficiaries, licensees, affiliates and employees. I consent to and authorize, in advance, such use without compensation and waive all rights of privacy I have in connection therewith. 

In the event that the school does not register 10 students by January 10, 2019, the chaperone will be required to meet the student minimum fundraising goal.

In order to maintain the prices stated in this agreement, Shalva reserves the right to change accommodations and other components of the Team Shalva program. By agreeing, I affirm that I understand the risks associated with international travel and that the Releasees are not responsible for any loss, damage, or injury to any of the Team Shalva program participants or any belongings of that participant caused directly or indirectly by Shalva suppliers or agencies, or by any airline, hotel, common carrier, travel agency, or any other person or entity. Shalva reserves the right to limit participation based upon eligibility requirements, space limitations, and other criteria that it may, in its sole discretion, determine.

I do hereby agree that any current or future dispute or claim between me and any of the Releasees arising out of, resulting from or relating to my participation in the event, shall be resolved by confidential, final and binding arbitration administered by JAMS, The Resolution Experts (“JAMS”), and conducted in accordance with the then-current JAMS Arbitration Rules & Procedures (the “Rules”) by an impartial arbitrator to be jointly selected by me and the Releasees from a list of neutral arbitrators provided by JAMS. The arbitrator shall have the authority to award any remedies, including attorneys’ fees and costs, available under applicable law, except punitive or exemplary damages. I acknowledge that judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction, and that the award may be vacated or modified only on the grounds specified in the Federal Arbitration Act or other applicable law.

I understand that any arbitration conducted pursuant to this agreement shall take place in New York County, New York.I acknowledge that such agreement is given in exchange for rights or benefits to which I am not otherwise entitled and the more expeditious and confidential resolution of any such disputes.

I hereby agree that all claims will be pursued on an individual basis and I hereby waive my right to commence or be a party to any class or collective claims or any joint any claim against the Releasees.

I HAVE READ THIS WAIVER/RELEASE, AND I FULLY UNDERSTAND ITS TERMS AND CONDITIONS AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO BRING ACTIONS AGAINST THE RELEASEES. I ACKNOWLEDGE THAT I AM SIGNING THE WAIVER/RELEASE FREELY AND VOLUNTARILY, AND THAT I INTEND BY MY SIGNATURE TO COMPLETELY AND UNCONDITIONALLY RELEASE THE RELEASEES TO THE FULLEST EXTENT ALLOWED BY LAW.

I EXPRESSLY AGREE THAT THIS WAIVER/RELEASE IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY THE LAWS OF THE STATE OF NEW YORK AND THAT THIS WAIVER SHALL BE GOVERNED BY AND INTERPRETED BY THE LAWS OF THE STATE OF NEW YORK. I AGREE THAT IN THE EVENT THAT ANY CLAUSE OR PROVISION OF THIS WAIVER/RELEASE SHALL BE HELD TO BE INVALID, THE INVALIDITY OF SUCH CLAUSE OR PROVISION SHALL NOT OTHERWISE AFFECT THE REMAINING PROVISIONS OF THIS WAIVER/RELEASE, WHICH SHALL CONTINUE TO REMAIN IN FULL FORCE AND EFFECT.

I wish to participate in the Team Shalva group that will be running in the 2019 Jerusalem Marathon in order to raise awareness and critically needed funds that support the non-profit work of Shalva- The Association for Mentally & Physically Challenged Children in Israel ("Shalva").  I understand that while training for and participating in this event, I will be traversing public streets and thoroughfares where potential hazards exist.  I confirm that I am aware of and appreciate the risks that may result.  I am also aware that accidents may occur during this event or during the training for this event which could result in serious injury or death.  I am voluntarily participating in this event and in the training for this event with knowledge of the dangers involved and I agree to accept all risks of injury or death.
              
I have accepted the responsibility to raise the minimum fundraising requirement for the event I have selected in order to participate with the Team Shalva group. 

If I am receiving a discounted fundraising goal as a result of participating in the Team Shalva family group with one or more of my designated family members, I agree and acknowledge that if all of my designated family members decline to participate in the Team Shalva group, then my discount will be removed and I will be obligated to raise the full amount indicated to me on the Team Shalva group website.

To be eligible for a team group rate there must be a minimum of ten runners. If runners who are part of a team group choose to forego their place, leaving the group below the ten person minimum, fellow group runners will be required to raise the regular sponsorship amount for the departed runner, unless otherwise agreed upon by the Team Shalva management

By January 5th, 2019, I will be asked to recommit to the program, and at that time I will be required to secure my spot on the team with a personal credit card.  All travel arrangements must be booked by January 10th, 2019 to avoid possible additional charges.  Once I have recommitted, I will be responsible to provide all funds collected, whether checks or by credit card, on or before the fundraising deadline of February 5th, 2019 and I authorize Shalva to charge the credit card submitted during my recommitment for any balance that remains due in order to meet the required fundraising minimum established for this event. If my credit card is so charged, I understand that I have until May 1st, 2019 to provide additional donations and to receive a refund.

Once I recommit I am aware that if for any reason I am not able to participate in the event, I will still honor my obligation to raise the fundraising minimum established for the event.
I agree to abide by any decision of a Jerusalem marathon official or Team Shalva official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever.

I assume all risks associated with running in this event, including but not limited to:falls; contact with other participants, spectators or others, or vehicular or other traffic; the effects of the weather, including heat and humidity, wind, cold temperature, and wet or icy surfaces; falling tree branches or other overhead objects; traffic; and the crowded nature and other conditions of the road, including surface conditions such as slipperiness, holes or obstacles and acts of terrorism or other violent acts, all such risks being known and appreciated by me.

I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players may not be allowed in the race and I will abide by all race rules.

I grant medical personnel at the Jerusalem marathon permission to administer or arrange for any medical assistance that they deem necessary or appropriate as a result of my participation in the event, including without limitation, arranging transportation to a hospital of other medical facility. 

Having read this waiver and release, and in consideration for being permitted to participate in this event in support of Shalva, I, for myself and anyone entitled to act on my behalf, agree to assume all risks and to release, hold harmless, and covenant not to sue Shalva, Team Shalva, American Friends of Shalva Israel, Inc., Canadian Friends of Shalva, British Friends of Shalva, each of their respective officers, directors, employees and agents, members of the event team, Team Shalva coach, and any designated beneficiaries, sponsors, officials, participating clubs, communities, organizations, friends of the event, including the event medical sponsor, the medical director, and members of the medical team, and all other government or public entities including, but not limited to, the Department of Transportation of the Jerusalem municipality and affiliated organizations and all their respective directors, officers, agents, employees and members (collectively, the "Releasees"), from any present or future claim, loss or liability of any kind that I may have arising out of my participation in and training for the event, including bodily injury, death or property damage, whether caused by negligence or carelessness of the Releasees or otherwise.

Furthermore, I, for myself and anyone entitled to act on my behalf, agree to waive my rights and to discharge all the Releasees from all claims, losses, or liabilities for death, bodily injury or property damage that I may have, or which may hereafter accrue to me, as a result of my participation in this event, even though that liability may arise from negligence or carelessness on the part of the Releasees, from dangerous or defective property or equipment owned, maintained or controlled by them or because of the possible liability without fault. I understand and agree that the Waiver and Release is binding on my heirs, assigns and legal representatives.

I agree to abide by the Team Shalva Code of Conduct during my stay with Team Shalva but that Team Shalva bears no responsibility for any violation by me of the Team Shalva Code of Conduct or the direct or indirect consequences thereof. I affirm that I understand the risks associated with each of the foregoing.
Without limiting any other waivers and releases, I,for myself and anyone entitled to act on my behalf,hereby agree that none of the Releasees are responsible for any loss, damage, or injury to me or any of my belongings occurring while I am with or accompanying Team Shalva and/or occurring as a direct or indirect result of my violation of the Team Shalva Code of Conduct.

I am physically capable of training for and completing this event. If I am aware of or under treatment for any physical infirmity, ailment or illness, my medical care provider knows of and has approved my training for and participation in this event. I will maintain personal health insurance while training for and participating in the event. I acknowledge that I and I alone am entirely responsible for my personal health and safety and the personal property I bring with me.  

I understand that all donations processed by Shalva, American Friends of Shalva Israel, Inc., Canadian Friends of Shalva, or British Friends of Shalva are non-refundable and non-transferable even if I do not participate in the event. 

I understand that my name, photograph, voice and/or likeness may be used by Shalva, Team Shalva, and their sponsors, beneficiaries, licensees, affiliates and employees. I consent to and authorize, in advance, such use without compensation and waive all rights of privacy I have in connection therewith.

In order to maintain the prices stated in this agreement, Shalva reserves the right to change accommodations and other components of the Team Shalva program.  By agreeing, I affirm that I understand the risks associated with international travel and that the Releasees are not responsible for any loss, damage, or injury to any of the Team Shalva program participants or any belongings of that participant caused directly or indirectly by Shalva suppliers or agencies, or by any airline, hotel, common carrier, travel agency, or any other person or entity.   Shalva reserves the right to limit participation based upon eligibility requirements, space limitations, and other criteria that it may, in its sole discretion, determine.

I do hereby agree that any current or future dispute or claim between me and any of the Releasees arising out of, resulting from or relating to my participation in the event, shall be resolved by confidential, final and binding arbitration administered by JAMS, The Resolution Experts (“JAMS”), and conducted in accordance with the then-current JAMS Arbitration Rules & Procedures (the “Rules”) by an impartial arbitrator to be jointly selected by me and the Releasees from a list of neutral arbitrators provided by JAMS. The arbitrator shall have the authority to award any remedies, including attorneys’ fees and costs, available under applicable law, except punitive or exemplary damages. I acknowledge that judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction, and that the award may be vacated or modified only on the grounds specified in the Federal Arbitration Act or other applicable law.

I understand that any arbitration conducted pursuant to this agreement shall take place in New York County, New York.I acknowledge that such agreement is given in exchange for rights or benefits to which I am not otherwise entitled and the more expeditious and confidential resolution of any such disputes.

I hereby agree that all claims will be pursued on an individual basis and I hereby waive my right to commence or be a party to any class or collective claims or any joint any claim against the Releasees.

I HAVE READ THIS WAIVER/RELEASE, AND I FULLY UNDERSTAND ITS TERMS AND CONDITIONS AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO BRING ACTIONS AGAINST THE RELEASEES. I ACKNOWLEDGE THAT I AM SIGNING THE WAIVER/RELEASE FREELY AND VOLUNTARILY, AND THAT I INTEND BY MY SIGNATURE TO COMPLETELY AND UNCONDITIONALLY RELEASE THE RELEASEES TO THE FULLEST EXTENT ALLOWED BY LAW.

I EXPRESSLY AGREE THAT THIS WAIVER/RELEASE IS INTENDED TO BE AS BROAD AND INCLUSIVE AS PERMITTED BY THE LAWS OF THE STATE OF NEW YORK AND THAT THIS WAIVER SHALL BE GOVERNED BY AND INTERPRETED BY THE LAWS OF THE STATE OF NEW YORK. I AGREE THAT IN THE EVENT THAT ANY CLAUSE OR PROVISION OF THIS WAIVER/RELEASE SHALL BE HELD TO BE INVALID, THE INVALIDITY OF SUCH CLAUSE OR PROVISION SHALL NOT OTHERWISE AFFECT THE REMAINING PROVISIONS OF THIS WAIVER/RELEASE, WHICH SHALL CONTINUE TO REMAIN IN FULL FORCE AND EFFECT.

 If the participant is under the age of 18, the participant’s parent should read and agree to the following:  
I am applying for my child to participate in the Team Shalva program and the Jerusalem marathon.  I represent and warrant that I am the parent or legal guardian of the child and, as such, consent to my child's participation in the Team Shalva program and the Jerusalem marathon and I agree that the terms hereof apply equally to my child and me and any claims I or my child may have in connection therewith. I also waive any derivative claims that relate to or arise out of my child's participation in the Team Shalva program and the Jerusalem marathon.  All references to "I" or "me" or similar words herein apply to me and to my child.

I wish to participate in the Team Shalva group that will be running in the 2019 Jerusalem Marathon in order to raise awareness and critically needed funds that support the non-profit work of Shalva - The Association for Mentally & Physically Challenged Children in Israel ("Shalva").  I understand that while training for and participating in this event, I will be traversing public streets and thoroughfares where potential hazards exist.  I confirm that I am aware of and appreciate the risks that may result.  I am also aware that accidents may occur during this event or during the training for this event which could result in serious injury or death.  I am voluntarily participating in this event and in the training for this event with knowledge of the dangers involved and I agree to accept all risks of injury or death.

I have accepted the responsibility to raise the minimum fundraising requirement for the event I have selected in order to participate with the Team Shalva group. 

By January 15th, 2019, I will be asked to recommit to the program, and at that time I will be required to secure my spot on the team with a personal credit card.  Once I have recommitted, I will be responsible to provide all funds collected, whether checks or by credit card, on or before the fundraising deadline of February 5th, 2019, and I authorize Shalva to charge the credit card submitted during my recommitment for any balance that remains due in order to meet the required fundraising minimum established for this event. If my credit card is so charged, I understand that I have until May 1st, 2019, to provide additional donations and to receive a refund.

Once I recommit I am aware that if for any reason I am not able to participate in the event, I will still honor my obligation to raise the fundraising minimum established for the event.

I agree to abide by any decision of a Jerusalem marathon official or Team Shalva official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever.

I assume all risks associated with running in this event, including but not limited to falls,  contact with other participants, spectators or others, or vehicular or other traffic; the effects of the weather, including heat and humidity, wind, cold temperature, and wet or icy surfaces; falling tree branches or other overhead objects; traffic; and the crowded nature and other conditions of the road, including surface conditions such as slipperiness, holes or obstacles, and acts of terrorism or other violent acts, all such risks being known and appreciated by me.

I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players may not be allowed in the race and I will abide by all race rules.
I grant medical personnel at the Jerusalem marathon permission to administer or arrange for any medical assistance that they deem necessary or appropriate as a result of my participation in the event, including without limitation, arranging transportation to a hospital of other medical facility. 

Having read this waiver and release, and in consideration for being permitted to participate in this event in support of Shalva, I, for myself and anyone entitled to act on my behalf, agree to assume all risks and to release, hold harmless, and covenant not to sue Shalva, Team Shalva, American Friends of Shalva Israel, Inc., Canadian Friends of Shalva, British Friends of Shalva, each of their respective officers, directors, employees and agents, members of the event team, Team Shalva coach, and any designated beneficiaries, sponsors, officials, participating clubs, communities, organizations, friends of the event, including the event medical sponsor, the medical director, and members of the medical team, and all other government or public entities including, but not limited to, the Department of Transportation of the Jerusalem municipality and affiliated organizations and all their respective directors, officers, agents, employees and members (collectively, the "Releasees"), from any present or future claim, loss or liability of any kind that I may have arising out of my participation in and training for the event, including bodily injury, death or property damage, whether caused by negligence or carelessness of the Releasees or otherwise.

Furthermore, I, for myself and anyone entitled to act on my behalf, agree to waive my rights and to discharge all the Releasees from all claims, losses, or liabilities for death, bodily injury or property damage that I may have, or which may hereafter accrue to me, as a result of my participation in this event, even though that liability may arise from negligence or carelessness on the part of the Releasees, from dangerous or defective property or equipment owned, maintained or controlled by them or because of the possible liability without fault. I understand and agree that the Waiver and Release is binding on my heirs, assigns and legal representatives.

I agree to abide by the Team Shalva Code of Conduct during my stay with Team Shalva but that Team Shalva bears no responsibility for any violation by me of the Team Shalva Code of Conduct or the direct or indirect consequences thereof. I affirm that I understand the risks associated with each of the foregoing.
Without limiting any other waivers and releases, I, for myself and anyone entitled to act on my behalf, hereby agree that none of the Releasees are responsible for any loss, damage, or injury to me or any of my belongings occurring while I am with or accompanying Team Shalva and/or occurring as a direct or indirect result of my violation of the Team Shalva Code of Conduct.

 I am physically capable of training for and completing this event. If I am aware of or under treatment for any physical infirmity, ailment or illness, my medical care provider knows of and has approved my training for and participation in this event. I will maintain personal health insurance while training for and participating in the event. I acknowledge that I and I alone am entirely responsible for my personal health and safety and the personal property I bring with me.  
 
I understand that all donations processed by Shalva,  American Friends of Shalva Israel, Inc., Canadian Friends of Shalva, or British Friends of Shalva, are non-refundable and non-transferable even if I do not participate in the event. 

In order to maintain the prices stated in this agreement, Shalva reserves the right to change components of the Team Shalva program. By agreeing, I affirm that I understand the Releasees are not responsible for any loss, damage, or injury to any of the Team Shalva program participants or any belongings of that participant caused directly or indirectly by Shalva suppliers or agencies, or by any, hotel, or any other person or entity. Shalva reserves the right to limit participation based upon eligibility requirements, space limitations, and other criteria that it may, in its sole discretion, determine.

I understand that my name, photograph, voice and/or likeness may be used by Shalva, Team Shalva, and their sponsors, beneficiaries, licensees, affiliates and employees. I consent to and authorize, in advance, such use without compensation and waive all rights of privacy I have in connection therewith.

I do hereby agree that any current or future dispute or claim between me and any of the Releasees arising out of, resulting from or relating to my participation in the event, shall be resolved by confidential, final and binding arbitration administered by JAMS, The Resolution Experts (“JAMS”), and conducted in accordance with the then-current JAMS Arbitration Rules & Procedures (the “Rules”) by an impartial arbitrator to be jointly selected by me and the Releasees from a list of neutral arbitrators provided by JAMS. The arbitrator shall have the authority to award any remedies, including attorneys’ fees and costs, available under applicable law, except punitive or exemplary damages. I acknowledge that judgment upon the award rendered by the arbitrator may be entered in any court having jurisdiction, and that the award may be vacated or modified only on the grounds specified in the Federal Arbitration Act or other applicable law.

I understand that any arbitration conducted pursuant to this agreement shall take place in New York County, New York. I acknowledge that such agreement is given in exchange for rights or benefits to which I am not otherwise entitled and the more expeditious and confidential resolution of any such disputes.

I hereby agree that all claims will be pursued on an individual basis and I hereby waive my right to commence or be a party to any class or collective claims or any joint any claim against the Releasees.

I HAVE READ THIS WAIVER/RELEASE, AND I FULLY UNDERSTAND ITS TERMS AND CONDITIONS AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO BRING ACTIONS AGAINST THE RELEASEES. I ACKNOWLEDGE THAT I AM SIGNING THE WAIVER/RELEASE FREELY AND VOLUNTARILY, AND THAT I INTEND BY MY SIGNATURE TO COMPLETELY AND UNCONDITIONALLY RELEASE THE RELEASEES TO THE FULLEST EXTENT ALLOWED BY LAW.

I have read the above waiver and I accept and agree to the terms set forth therein.

I accept the above waiver for my child and I accept and agree to the terms set forth therein.

I am a high school chaperone. In the event my high school team does not have 10 students enrolled in the team I agree to raise $ by February 5, 2019.

Additional Comments:

IMPORTANT!!!
Please note that although you will receive a thank you message and email upon completing this form,
your registration will not be activated until the Cardcom form and payment on the next page is submitted.

SECURITY CHECK - Please check to confirm you are not a robot

Please click on “REGISTER” and you will be directed to your “Sign-In" Page.
You’re just a few clicks away from creating your own race web page.

Please wait a moment while we process your request.
Do not hit the "Register" button more than once!

Team Shalva is a non-profit 501c3 organization.