5K Fun Run/Walk Registration 2019
 
5K Fun Run/Walk Registration 2019
Your Email Address  * 
PLEASE COMPLETE THE REGISTRATION INFORMATION BELOW. Registration forms MUST be completed by May 12 in order to guarantee a t-shirt. Registration fee for each participant is $20 up through March 31st. April 1 - May 18 = $25. $30 (day of event) Please note, there are NO refunds available. All proceeds will go toward the UK Mission Trip this summer.
(1st) Participant's First & Last Name  * 
(1st) Participant's Age  * 
1st Participant's Gender
1st Participant's T-Shirt Size
1st Participant's Registration Fee: $25 April 1 - May 18; $30 on the day of the event (at the venue)  * 
(2nd) Participant's First & Last Name
(2nd) Participant's Age
2nd Participant's Gender:
2nd Participant's T-Shirt Size
2nd Participant's Registration Fee: $25 April 1 - May 18; $30 on the day of the event (at the venue)
(3rd) Participant's First & Last Name
(3rd) Participant's Age
3rd Participant's Gender:
3rd Participant's T-Shirt Size:
3rd Participant's Registration Fee: $25 April 1 - May 18; $30 on the day of the event (at the venue)
(4th) Participant's First & Last Name
(4th) Participant's Age
4th Participant's Gender:
4th Participant's T-Shirt Size:
4th Participant's Registration Fee: $25 April 1 - May 18; $30 on the day of the event (at the venue)
Address:  * 
City:  * 
State & Zip Code:  * 
Phone Number:  * 
E-Mail Address:  * 
EMERGENCY CONTACT (name & phone #)  * 
Parent's Name if participant is under 18 years:
PARTICIPANT WAIVER FOR RACE REGISTRATION
I know that running this 5K run/walk race is a potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able, and
by entering my name and date below, I certify that I am medically able to perform this event, and am in good health. I agree to abide by any decision of a race 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 attest that I have read the
rules of the race and agree to abide by them. I assume all risks associated with running in this event, including but not limited to: falls, contact with other participants,
the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. I understand that
bicycles, skateboards, roller skates or roller blades, and animals are not allowed in the race and I will abide by all race rules. Having read this waiver and knowing these facts
and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Central Valley Baptist Church, the City of Meridian,
the Ada County Highway District, all event sponsors, my participation in this event, even though that liability my arise out of negligence or carelessness on the part of the
persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any record of this event for any legitimate purpose.
Participants MUST enter name and date here signifying that you have read this waiver.  * 
Please type in the box to the right »  * 
Total $
 
 
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