2017 Donut Dash 5k Registration
November 11, 2017
Hosted by NLCF for Honduras Aid
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone
Your answer
Age on Race Day *
Shirt Size *
Donuts to be Eaten *
Please estimate the number of donuts you plan to eat at the halfway point.
Your answer
Registration Option *
Regular - $25 (Through October 15th, T-shirt and donuts guaranteed) ///// Late/Day-Of - $30 (Through November 11th, Includes donuts, but T-shirt not guaranteed)
I would like more information about the 2018 NLCF Trip to Honduras over Virginia Tech's Spring Break
Terms of Participation *
In consideration of being permitted to participate in the 2017 Donut Dash 5k, I do hereby for myself, my heirs, executors, administrators and assignees, release and forever discharge the Donut Dash 5k, New Life Christian Fellowship, and their respective officers, employees, agents, subsidiaries and affiliates, all sponsors, the Town of Blacksburg, Montgomery County, Virginia Polytechnic Institute & State University, the Commonwealth of Virginia and all those persons involved in organizing and manning this event from all claims, demands, losses, damages, actions, cause of action or suits of whatsoever kind or nature, arising out of my participation in the Donut Dash 5k. I hereby grant full permission to any and all of the above parties to use any photographs, videotapes, motion pictures, website images, recordings or any other record of this event. Furthermore, I also agree that I have appropriate health care coverage for this activity.
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