The Jack H Marston II Melanoma Fund is a 501c3 not for profit corporation

Thank you!  Please fill out the form to volunteer and check box(es) below.

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THIS RUN'S FOR JACK Waiver and Release: By submitting this form, I, my heirs, executors and administrators hereby waive any and all rights and claims for damages I may have against the Glen Ellyn Park District, the Village of Glen Ellyn, the County of DuPage and its successors, assigns and employees, USATF, organizers and sponsors, individuals associated with the event, their representatives, successors, assigns, shall be held harmless for any injury to persons and/or damage to property for participating in said event; and held harmless for any and all injuries suffered by me in the risk and potential risk associated with running this route, including cancellation of event due to dangerous weather. I further declare that I am in good health to participate in this event and I attest and verify that I am physically fit. Further, I hereby grant full permission to any and all of the foregoing to use any photograph and/or video of the event for promotional purposes.

Jack’s Fund
P.O. Box 436
Glen Ellyn, IL 60138

Email: info@jacksfund.org
Phone: (708) 205-5692
Fax: (630) 230-3808