St. Cletus 5k and Fun Run
May 19, 2018 • 8 a.m.
5k: $25 for one, $20 each for two or more
1 Mile Fun Run: $10 each
Email address *
Name *
Your answer
Age *
Your answer
Sex *
Phone *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Race *
T-shirt Size *
I know that running a race is a potentially hazardous activity. I should not enter or run this race unless I am medically able and properly trained. I assume all risks associated with running this race including, but not limited to, falls, contact with other participants, the conditions of the road, and the effects of the weather. Having read this waiver and knowing these facts and in consideration of your accepting my entry fee, I, for myself, and anyone entitled to act on my behalf, waive and release St. Cletus Parish and all their sponsors and volunteers, for all claims or liabilities of any kind arising out of my participation in this event. *
I understand that I am not officially registered for the race until payment has been submitted online (, dropped off in person, or mailed to and received by St. Cletus. *
Method of payment *
Responsible party's initials as a digital signature *
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Report Abuse - Terms of Service - Additional Terms