5K Runner Registration 2019
5K Fun Run & 1 Mile Walk Fundraiser for Plum Creek Christian Academy
Please Enter Your Name *
First and Last
Your answer
Mailing Address *
Your answer
City, State & Zip Code *
Your answer
Phone Number
Your answer
Email Address
Your answer
Age Group
What do you intend to do? *
Shirt Size
T-shirts sizes are not guaranteed for late registrations.
How many non-participants do you anticipate will be coming to show support for your family? *
For example, if grandparents are coming to watch, please enter the number 2
Your answer
Race Release - Electronic Signature *
I understand that my consent to these provisions is given consideration of the acceptance of this registration and for being permitted to participate in this event. I am a voluntary participant in the event and in good physical condition. I know that this event is a potentially hazardous activity and I hereby assume full and complete responsibility for any injury or accident which may occur during my participation in the event or while on the premises of the event. I hereby release, hold harmless and covenant not to file suit against Plum Creek Christian Academy & Preschool and any affiliated individuals, any race sponsors and their agents and employees, and all other persons or entities associated with this event from any loss, liability or claims I may have arising out of my participation of this event, including personal injury or damage suffered by me or others, whether caused by falls, contact with participants, conditions of the course, negligence of the release or otherwise. If I do not follow all rules of the event, I understand that I may be removed from the competition. I give my full permission to Plum Creek Christian Academy & Preschool and their sponsors and corporate sponsors to use any photographs, videotapes, audio tapes or other recordings of me that are made during the course of this event.
Enter Your Name Below to Sign Release: *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service