11th Annual Running For Life 10K/1 Mile Run
Online Registration Form for the Running For Life 10K/1 Mile Run held on Saturday June 15th.
Bib Pick Up: 5:30 AM - 6:45 AM
Race Time: 10K 7:30 AM and 1-Mile: 7:45 AM
ALL TIMES ARE DAYLIGHT SAVINGS TIME (DST)

PRE-REGISTRATION FEE
10K - $30
1 Mile - $15

Pre-Registration will be closed Thursday June 13, 2019 at 10:00 PM (DST).
Registration link will be re-opened 5:00 AM on June 15. 2019 for Day of Race Registration.

DAY OF RACE REGISTRATION FEE
10K - $40
1 Mile $25
Event *
Personal Information
First Name *
Last Name *
Gender *
Date of Birth (MM/DD/YYYY ex: 02/05/1999) *
Age on Race Day (June 15, 2019) *
Mailing Address *
City *
State Abbreviation (ex: AZ, NM, etc) *
Zip Code *
Hometown (If different from mailing address)
Contact Phone Number *
Alternate Contact Phone Number
Email Address
T-Shirt Size *
Emergency Contact
Name *
Contact Phone Number *
Waiver
Please Read and Sign below. Waiver must be signed.

I understand that participation in the event “Running for Life 10k Trail Run or 1 Mile Fun Run/Walk” as a registered party should not participate unless medically able and properly trained. I understand that this event may be held over trails and over public roads and facilities open to the public during the event and upon which hazards are to be expected. Participation carries with it certain inherent risks that cannot be eliminated completely ranging from minor injuries to catastrophic injuries. I understand and agree that in consideration of being permitted to participate in the event I and any registered party, my heirs, personal representatives or assigns of mine or the registered party do hereby release, waive, and discharge not to sue or place claim of any kind against Running For Life, John Curley Jr, Elaina Vann, Evonne Yazzie, Standing Rock Parties, Steamboat or Standing Rock Community/Families or any other parties/sponsors affiliated with the event for any and all liability from any and all claims arising from participation in the event by myself or any registered party. By indicating my acceptance of this agreement and waiver, I am affirming that I have read and understand this agreement and waiver and fully understand its terms. I understand that I am giving up substantial rights, including the right to sue. I acknowledge that by submitting my legal name or affiliated name electronically is submission that I am giving up substantial rights.
I hereby grant permission for photos of my participation in the event to be used on the www.runningforlife10k.com website and any other promotional items affiliated with Running for Life.
Signature of Participant *
Type your legal name in the textbox to electronically sign your waiver.
Today's Date *
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Signature of Parent or Guardian (if participant is under the age of 18)
Parent or Guardian, type your Legal Name in the text box to electronically sign the waiver for your child.
Today's Date
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DD
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Submit
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