10th Annual Running For Life 10K/1 Mile Run
Online Registration Form for the Running For Life 10K/1 Mile Run held on Saturday June 16th.
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
REGISTRATION IS FREE THIS YEAR!!!!

Option to donate a pair of "worn out to you" running shoes, still in good condition. Run Flag team will spiff them up and deliver them to shelters for children who want to get that runner's sole experience.

Event *
Personal Information
First Name *
Your answer
Last Name *
Your answer
Gender *
Date of Birth (MM/DD/YYYY ex: 02/05/1999) *
Your answer
Age on Race Day (June 16, 2018) *
Your answer
Mailing Address *
Your answer
City *
Your answer
State Abbreviation (ex: AZ, NM, etc) *
Your answer
Zip Code *
Your answer
Hometown (If different from mailing address)
Your answer
Contact Phone Number *
Your answer
Alternate Contact Phone Number
Your answer
Email Address
Your answer
T-Shirt Size *
Emergency Contact
Name *
Your answer
Contact Phone Number *
Your answer
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.
Your answer
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.
Your answer
Today's Date
MM
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YYYY
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