Every Kid Healthy 5K Run/Walk
April 21st, 2018
Registration begins at 7:30am
Run/Walk to begin at 8:15am
Begins and Ends at 1109 R Street Auburn, NE 68305
Contact us at (402) 274-4354 or czentner@esu4.net
Email address *
Name *
Your answer
Telephone Number *
Your answer
I am entering the Healthy Kids 5K hosted by Educational Service Unit 4 on April 21st, 2018, at my own risk. I, here by, for myself, my heirs, executor, and administrators waive and release any and all rights and claims I have against Educational Service Unit 4 and the City of Auburn, NE, and all sponsors for any and all injuries that occur, whether or not caused by the negligence of the released party or otherwise. *
By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver. *
I understand that I will have to pay $10 upon arrival *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Educational Service Unit 4. Report Abuse - Terms of Service