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The total gift amount will be repeated on the same day of each subsequent period. For example, a monthly gift will automatically occur on this day next month. Manage or cancel your recurring gift by logging into your account.

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Your total pledged amount is split into equal installments. Select the frequency and number of installments to make. The first installment will be processed now, and email notifications will be sent for future installments.

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Optional note

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Short title of your eCard

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Additional details

If you are single runner, please select your t-shirt size for 1st Runner. Teams, please select t-shirt sizes for each runner on your team.

1st Runner: Please select your t-shirt size.

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2nd Runner: Please select your t-shirt size.

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3rd Runner: Please select your t-shirt size.

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4th Runner: Please select your t-shirt size.

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Confirmation

I acknowledge that my participation in the SafeHouse Strong 5k Fun Run and Walk involves a risk of injury, including bodily injury, and assume the risk for same. On my own behalf and on behalf of my heirs and legal representatives and to the fullest extent permitted by law, I hereby release and discharge SafeHouse of Shelby County, Inc. and their respective directors, officers, employees, affiliates, members, agents and representatives, of and from any and all liability for injury, death, or damages and/or any other claims, demands, losses or damages, incurred by me in connection with any aspect of the SafeHouse Strong 5k Fun Run and Walk.

If I am an employee of SafeHouse of Shelby County, Inc., I acknowledge that my participation in the SafeHouse Strong 5k Fun Run and Walk is completely voluntary and does not constitute part of my work-related duties. I understand that my decision to participate, or not participate, in this activity will not affect my job status.