2018 Broad Street Run Registration

2018 Broad Street Run Registration

Runner Information


Race Day Information


Fundraising Commitment

This registration has a required minimum of $500. If you do not meet the minimum amount by April 15, 2018, your credit card will be charged the difference.

Please enter your credit card information below. You will only be changed in the event that your fundraising goals have NOT been met. (Please note: this is not for your registration fee. You will be required to enter your payment information at the end of this form for your registration payment of $30)

BACK THIS YEAR! Conquer both the Broad St. Run and Philadelphia Marathon with DetermiNation as a DNation Double Athlete!



2018 TEAM CMMD Participant Release of Liability and Waiver of Rights

I desire to participate in the Blue Cross Blue Shield Broad Street Run as described on this Team CMMD registration. In consideration of being permitted to participate in Team CMMD events, I hereby agree to all the terms of this Release of Liability and Waiver of Rights (this "Release and Waiver"), including all the covenants and agreements listed below.

This Release and Waiver shall be binding upon and enforceable against me, my personal representatives, spouse, assigns, heirs and next of kin without limitation. It is my desire and intent that the words, terms, provisions, covenants, and remedies contained in this Release and Waiver shall be enforceable to the fullest extent permitted by Applicable Law. If any portion of this Release and Waiver is held invalid, the remainder shall not be affected and shall continue in full legal force and effect. That shall include modifying the Release and Waiver to allow any remaining claims to be waived, released, and indemnified against in the event that the inclusion of any particular provision is found to be invalid or contrary to public policy. The terms of this Release and Waiver shall continue from this date forever. This document constitutes the entire agreement between Team CMMD and me and supersedes any previous or contemporaneous discussions or agreements between us in respect of these matters.

I specifically acknowledge and agree that this document is not intended to be a general release subject to limitations and conditions that would otherwise apply under applicable state laws, ordinances, statutes, rules and regulations (collectively, "Applicable Law"), and additionally agree to WAIVE ANY AND ALL GENERAL RELEASE LIMITATIONS PROVIDED BY APPLICABLE LAW OR ANY RIGHTS GRANTED TO ME UNDER APPLICABLE LAW. This Release and Waiver shall be construed and interpreted as broadly as possible under the Applicable Law of the jurisdiction in which the Team CMMD events take place.



I hereby irrevocably and unconditionally agree for myself, my personal representatives, my heirs, next -of-kin, insurers, successors and assigns, as follows:

1. ASSUMPTION OF RISK. My choice to participate in Team CMMD events is knowing, voluntary, and made for my personal enjoyment. I understand that participation in Team CMMD events is potentially hazardous, and that I should not participate unless I am medically able and properly trained. I understand that Team CMMD events my be held over public roads, paths and facilities opten to the public upon which hazards are to be expected. Participation carries with it certain inherent risks that cannot be eliminated completely ranging from minor injuries to catastrophic injuries, included death. These may result not only from my own actions, inactions, or neglience, but also from the actions, inactions, or negligence of others. Further, there may be other risks not known to me or rasonable forseeable at this time. I understand and I have considered the risks involved, and I voluntarily and freely choose to assume these risks.

2. RELEASE FROM LIABILITY. I fully and forever release and discharge Team CMMD Foundation and its respective affiliates, directors, officers, shareholders, employees, agents, and insurers, and all others involved in the Team CMMD event (collectively referred to in this Release and Waiver as "Team CMMD") from any and all injuries (including death), losses, damages, claims (including negligence claims), demands, lawsuits, expenses, and any other liability of any kind, of or to me, my property, or any other person, directly or indirectly arising out of or in connection with my participation in Team CMMD events, even if it is due to the negligence, omission or other fault of Team CMMD.

3. INDEMNITY. I will defend, indemnify, hold harmless and reimburse Team CMMD from and for all damages, losses, costs, or expenses (including legal fees) incurred by Team CMMD or paid by them to any person (including me or my insurers) in respect of any accident, injury (including death), loss, or property damage, however caused resulting from, arising out of, or otherwise in connection with my participation in Team CMMD events.

4.COVENANT NOT TO SUE. I will not initiate any claim, lawsuit, court action or other legal proceeding or demand against Team CMMD, nor join or assist in the prosecution of any claim for money or other damages which anyone may have, on account of injuries (including death), losses, or damages sustained by me, other parties or my (or others’) property in connection with my participation in Team CMMD events, and I waive any right I may have to do so. This means that I cannot sue to hold Team CMMD responsible for any injury, loss, or damage sustained by me, other parties or my (or others') property in connection with the Team CMMD event, even if it is due to the negligence, injudicious act, omission or other fault of Team CMMD. I waive my insurers' right to make a claim against Team CMMD Foundation based on payments by insurers to me or on my behalf for any reason.

5. PUBLICITY. I hereby grant Team CMMD and its authorized agents, without limitation, the right to use my name and likeness as they may appear in any photographs, video, motion pictures, and recordings in connection with Team CMMD events for any publicity without further compensation or permission.

Fast Facts

Make your miles count for more than just your personal victory, but a victory over cancer by running with American Cancer Society’s DetermiNation Team.  Raise funds to create a world with less cancer and more birthdays! Team CMMD has been allotted 300 bibs for the DetermiNation team.  All registered athletes receive:

  Guaranteed race bib

  An inspiring (and delicious) pre-race dinner to celebrate your accomplishments as a DetermiNator!

  A race-day VIP start and finish tent for you/your family to enjoy with DNation only port-a-potties, cheese steaks, assorted food, water, and more!

  Your registration with Team CMMD is also your registration in the race itself and for the American Cancer Society’s DetermiNation team.

  You will only be charged $30 for your registration today.  With successful payment completion you will be directed to set up your fundraising page with Team CMMD and DetermiNation. 

   The individual fundraising goal is $500. Each athlete must fully commit to the fundraising goal and enter credit card information.  Your credit card will not be charged if your minimum fundraising goal is met by April 15th.

   Your first $500 of fundraising will go to the American Cancer Society to fund important cancer research and programs.  Fundraising balances over $500 will support the Team CMMD Foundation.  The Team CMMD Foundation provides assistance to local cancer patients with financial obligations, meals, and moral support.

   You will receive a link to purchase race day Team CMMD race day bus seats in early spring 2018.