2025 Bogalusa Blues & Heritage Festival 5K Run/Walk
Fill out this form and return it with payment. The Bogalusa Blues & Heritage Festival 5K Run is held on the Saturday of the festival - September 27,2025 - bright and early at 8 a.m.
Early Registration (Before 9/9/2025): $25
Regular Registration (On or After 9/9/2025): $30
Race-Day Registration: 7:00 AM - 7:45 AM
Race Starts: Saturday, September 27 at 8 AM T-Shirt Order Deadline: Sept. 20, 2025
Full Name: | |
Gender: | ◻ Male ◻ Female |
Type of Participant: | ◻ Walker ◻ Runner |
Date of Birth: | |
T-Shirt Size: 9/9/2025 Deadline! | Adult: ◻ Small ◻ Medium ◻ Large ◻ X-Large ◻ XX-Large ◻ XXX-Large Youth: ◻ Small ◻ Medium ◻ Large |
Address: | |
City/State/Zip Code | |
Phone: | |
Email: | |
Emergency Contact: | |
Emergency Phone: | |
List Any Allergies or Medical Conditions: | |
Payment Methods: | Cash or Check Payable to “Bogalusa Blues & Heritage Festival” |
Submit Form and Payment to: | 344 Martin Luther King Dr Bogalusa, LA 70427 |
Waiver and Release Statement
By completing this application and/or submitting payment for the event, you are agreeing to the following:
In considerations of the acceptance of this entry and as a participant in the above listed event, I do herby waive any and all rights and claims which I, for myself and my heirs, executors, administrations and personal representatives may now or hereinafter have against and do herby release, Bogalusa Blues & Heritage Festival, City of Bogalusa, the property owners, any volunteers, and sponsors of the event for any injury,
illness, losses, or death suffered by me resulting either directly or indirectly from my participation in the above listed event. I fully understand that my participation in this event is completely a voluntary undertaking and that I assume all risk associated with my participation, including, but not limited to, falls, contact with other participants, effects of weather, traffic, and the conditions of the course. The course may include,
mud, sand, undeveloped ground, rough terrain, rocks, debris, logs, vines, water, and other natural obstacles. I hereby certify that I am adequately fit and in the proper physical condition to participate in this event and that I am not participating in this event against advice of a physician nor am I taking medications which would impair my health or ability to participate in this event. I hereby authorize this use of my name and photographs, recorded video and other record of my participation in this event for any legitimate purpose. I acknowledge that I have read and fully understood the above and assume complete responsibility for all risks associated with participation in the above event.
____________________________________________________________________________ ___________________________________ Signature: Date: