Monadnock Region K9CROSS 5K Virtual Fundraiser – Registration Form
5K Virtual Run September 26-October 2, 2020
Register by September 25, Entry fee $40 per person

Fundraiser to benefit ColdSprings Healing Paws Foundation (, located in New Ipswich NH and specializes in training canines and handlers for the purpose of helping people with special needs as well as training and certifying canines for therapy work. Their goal is to mentor and prepare you to leave an impact with a highly trained dog.

Grab your running shoes and a dog if you have one and join the virtual 5K to help make a difference in the lives of others!

• Fill out this form for each participant, by September 25, 2020 (I will email you a race bib)
• Complete a 5K (3.1 miles - a route of your choice) walk or run between September 26-October 2, 2020 (while observing social distancing of course!)
• Send us your results on our online form (your confirmation email will include instructions)
• Post your pics on our Facebook page @MonadnockRegionK9Cross (use #coldspringshealingpaws #monadnockregionk9cross to create awareness around our fundraiser)
• Results will be posted on website and will be announced on the Monadnock Region K9Cross facebook page
• We will mail you your award (post a pic of you and your dog with your award from the virtual race)

Awards will be mailed to the top four overall male and female finishers, and the top male and female finisher in each of the following age groups:

Male/Female: 10-13
Male/Female: 14-18
Male/Female: 19-39
Male/Female: 40+

Have fun and make the race your own. Participants should follow the social distancing guidelines of the CDC.

Please complete this registration form below and submit by September 25, 2020
Still have Questions? Email

Thank you for your support!
Heather Fernandes

Monadnock Region K9Cross
Virtual Race Coordinator/Director

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Email *
Thank you for making a difference in the lives of others!
Participants from the June 2020 virtual fundraiser
Registration #1 *
First + Last Name
Date of birth *
Gender *
Registration #2
First + Last Name
Date of birth
Clear selection
Mailing Address *
Street Address/City/State/ZIP
Number of participants *
You can register up to 2 participants on each registration form
Payment *
IMPORTANT: After submitting your registration, please pay by PayPal link
Waiver *
K9CROSS WAIVER I know that participating in a virtual 5K is a potentially hazardous activity. I enter and run this race certifying that I am medically able and properly trained. I assume any and all risks associated with running this event including, but not limited to, falls, contact with other participants, the effects of extreme weather, and the conditions of the trails. Knowing these facts and in consideration with your acceptance of my entry fee, I hereby for myself, my heirs, my executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive, release, and discharge the organizer of this event – Heather Fernandes Marketing Consultant, LLC (DBA Monadnock Region K9Cross 5K Virtual Run) and any individual and organization associated with the trail run; local government and police; volunteers, and any and all sponsors, including their agents, employees, assigns or anyone acting for or on their behalf, from any and all claims of liability for death, personal injury foreseen or unforeseen, known and unknown. The undersigned further grants full permission to use any photographs, videotapes, motion pictures, recordings, or any other record of this event for any legal purpose. I also understand that entry fees are not refundable under any circumstance, race registrations are not transferable to other participants, future years races or other Monadnock Region K9Cross 5K Virtual events and transferring between distances (up or down) is not allowed. The Race Director reserves the right to modify or cancel the race or course for safety concerns, trail condition concerns or natural disaster. In such cases there will be no refunds of race entry fees. Each athlete must accept any such risk of their entry fee paid. There is no complimentary race entry to a future race. I agree to abide by the rules and decisions of race officials. I have read the foregoing and certify my agreement by checking the box below and continuing with the registration process. (Parent or guardian must sign if applicant is under 18 years of age).
A copy of your responses will be emailed to the address you provided.
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