St Paul Lutheran 5K Run/Walk
Sunday, June 3rd, 2018

This is the online registration for the St. Paul Lutheran 5K Run/Walk. Please fill out the form below, including any additional runners that you may be liable for. Stroller riding children do not need registration.
$15/adult
$12/child
Payment for online registration may be made at registration table the day of the race.
Receive a free T-shirt
100% of the proceeds go towards St. Paul's new security system that will soon be implemented.
Parking available in the vacant lot across from the school, the library or on available side streets.
Registration begins at 7:15 am
Race begins at 8:00 am on Green Bay St.

Email address *
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Phone number *
Your answer
T-shirt size *
Emergency Contact First Name *
Your answer
Emergency Contact Last Name *
Your answer
Emergency Contact Phone Number *
Your answer
Liability Waiver: *
I acknowledge that my participation in the 5k Walk/Run may involve a risk of, including bodily injury, and assume the risk for same. On my own behalf and on behalf of my heirs (including stroller riding children) to the fullest extent permitted by law, I hereby release and discharge St. Paul Lutheran School and their respective directors, officers, board of trustees, members, agents and representatives, of and from any and all liability for injury, death, or damages and/or any other claims, demands, losses or damages, incurred by me in connection with any aspect of the 5k run and walk. My signature claims responsibility and waives liability for all individuals listed on this registration form. TYPING YOUR NAME HERE CONSTITUTES YOUR DIGITAL SIGNATURE.
Your answer
Additional Participants
Below, please add any additional runners (under the age of 18) , that you are legally responsible for and are able to sign the liability waiver.
Name (First & Last)
Your answer
T-shirt size
Name (First & Last)
Your answer
T-shirt size
Name (First & Last)
Your answer
T-shirt size
Name (First & Last)
Your answer
T-shirt size
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